Hótel Hérað, Miðvangur 5-7, 700 Egilsstaðir. Two-story hotel building, constructed in 1950s, renovated in 2018. Main entrance faces Miðvangur street, secondary entrance from parking lot. No elevators, central staircase access to upper floors. Hotel has fire alarm system and emergency lighting. Current conditions: 8°C, overcast, good visibility, dry road conditions. GPS coordinates: 65.2642° N, 14.3934° W. Nearest landmark: Egilsstaðir Airport.
32-year-old female, 38 weeks pregnant, experiencing sudden onset of severe abdominal pain and vaginal bleeding. Primary symptoms: Intense abdominal pain, bright red vaginal bleeding, contractions every 5 minutes. Secondary symptoms: Lightheadedness, nausea, patient is visibly anxious. Patient is conscious and oriented but distressed. History of gestational diabetes, managed with diet. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient reports mild abdominal discomfort. 1415 hours: Sudden onset of severe abdominal pain, accompanied by bright red vaginal bleeding. 1420 hours: Contractions started, occurring every 5 minutes, lasting approximately 45 seconds each. 1425 hours: Patient called her husband for help. 1430 hours: Husband called emergency services. 1432 hours: Current time, patient lying on the bed in hotel room, experiencing intense pain. Prior Events: Patient has had a normal pregnancy so far. Gestational diabetes diagnosed at 24 weeks, controlled by diet. Regular prenatal check-ups. No prior complications. No previous pregnancies.
Initial Impression: Suspected Placental Abruption Justification for F2 Classification: - High probability of serious obstetric complication based on presentation - Patient experiencing severe pain, vaginal bleeding, and contractions - Potential for rapid deterioration of both maternal and fetal condition - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Placental Abruption (high probability) 2. Preterm Labor (less likely given pain severity and bleeding) 3. Placenta Previa (less likely given pain profile) 4. Uterine Rupture (less likely but needs consideration) Required Actions: - Dispatch of ground EMS with ALS capabilities - Initiate IV access and administer oxygen - Continuous fetal monitoring if available - Prepare for rapid transport to nearest hospital with obstetric services