Miðvangur 2, 700 Egilsstaðir, ground floor apartment 1B. A two-story wooden residential building constructed in 1965. Main entrance has a coded lock, code is 1965. No elevator. Street parking available. Building is equipped with smoke detectors. Current conditions: 8°C, overcast, light wind. GPS coordinates: 65.2643° N, 14.3947° W. Nearest landmark: Egilsstaðir Airport.
62-year-old male, experiencing severe abdominal pain. Primary symptoms: Sudden onset of severe, sharp abdominal pain, radiating to the back. Patient reports nausea and vomiting. Secondary symptoms: Sweating, pale skin, and feeling faint. Patient is conscious but distressed. Patient is sitting on the sofa in his living room. Medical history: History of kidney stones, type 2 diabetes, and hypertension. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, and occasional ibuprofen for pain. 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 rapidly, becoming severe and sharp 1420 hours: Patient experienced nausea and vomiting 1425 hours: Patient called emergency services 1427 hours: Current time, patient is still experiencing severe pain, nausea, and sweating. Prior Events: Patient had a similar episode of kidney stones 6 months ago. No recent illnesses or injuries. Last medical check-up 2 months ago, routine follow-up for diabetes and hypertension. Patient lives alone.
Initial Impression: Suspected Renal Colic or Acute Abdomen Justification for F2 Classification: - Severe abdominal pain with rapid onset and associated symptoms (nausea, vomiting, sweating) - Patient’s history of kidney stones makes renal colic a likely possibility, but acute abdomen cannot be ruled out. - Time-sensitive condition requiring prompt medical evaluation and pain management. Differential Diagnoses: 1. Renal Colic (high probability given history) 2. Acute Appendicitis (possible, but less likely given location of pain) 3. Pancreatitis (possible, but less likely given rapid onset) 4. Aortic Aneurysm (less likely, but must be considered in differential) Required Actions: - Dispatch of ground EMS with ALS capabilities - Pain management protocols initiation - Assessment of vital signs and hemodynamic status - Preparation for transport to nearest hospital with surgical and urological services