Miðvangur 10, 700 Egilsstaðir, ground floor apartment. Single-story residential building, constructed in 1985. Main entrance is at ground level, no steps. Wheelchair accessible. Ample parking available. Building is equipped with a basic fire alarm system. Current conditions: 8°C, overcast, moderate wind, dry roads. GPS coordinates: 65.2652° N, 14.3946° W. Nearest landmark: Egilsstaðir Airport.
30-year-old female, 38 weeks pregnant, experiencing sudden onset of severe abdominal pain and vaginal bleeding. Patient reports contractions every 5 minutes. Primary symptoms: Severe abdominal pain, bright red vaginal bleeding, contractions. Secondary symptoms: Dizziness, nausea. Patient is alert but anxious. Medical history: Gestational diabetes, no prior pregnancies. Medications: Insulin 10 units before meals, prenatal vitamins. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient began experiencing mild abdominal discomfort 1415 hours: Pain intensified and became severe, vaginal bleeding began 1420 hours: Contractions started, occurring every 5 minutes 1425 hours: Patient called her partner for help 1430 hours: Partner arrived and called emergency services 1432 hours: Current time, patient is in severe pain, bleeding continues Prior Events: Patient had a routine prenatal checkup 2 days ago, all was normal. No prior complications during this pregnancy. Patient has been monitoring blood glucose levels regularly and adjusting insulin as needed. No recent illnesses or injuries.
Initial Impression: Suspected Placental Abruption or Preterm Labor Justification for F2 Classification: - Pregnant patient at 38 weeks with severe abdominal pain, vaginal bleeding, and regular contractions - Potential for significant maternal and fetal morbidity - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Placental Abruption (high probability given bleeding and pain) 2. Preterm Labor (likely given contractions) 3. Placenta Previa (less likely given pain) 4. Uterine Rupture (less likely, no prior uterine surgery) Required Actions: - Dispatch of ground EMS with ALS capabilities - Maternal and fetal monitoring en route - Preparation for transport to the nearest hospital with obstetric services - Possible need for neonatal resuscitation team on standby