Miðgarður 15, 700 Egilsstaðir, detached single-story residential house. Built in 1990. Main entrance at the front of the house. No security features. Driveway access. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 65.2648° N, 14.3945° W. Nearest landmark: Egilsstaðir Airport.
32-year-old female, 38 weeks pregnant, experiencing sudden onset of vaginal bleeding and severe abdominal pain. Patient reports contractions every 5 minutes. Patient is pale, anxious, and diaphoretic. Medical history: G2P1, previous uncomplicated pregnancy and vaginal delivery. No known allergies. Medications: Prenatal vitamins only. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient began experiencing mild lower abdominal cramping. 1415 hours: Cramping increased in intensity, became regular contractions every 5 minutes. 1420 hours: Sudden onset of moderate vaginal bleeding, bright red in color. 1425 hours: Patient reports severe abdominal pain, described as constant and intense. 1428 hours: Patient called emergency services. Prior Events: Patient has been healthy throughout pregnancy. Regular prenatal checkups. No history of bleeding or complications. Last checkup was 2 days ago, routine.
Initial Impression: Suspected Placental Abruption Justification for F2 Classification: - Vaginal bleeding and severe abdominal pain in a late-term pregnancy is a high-risk situation. - Potential for fetal distress and maternal compromise. - Requires prompt medical evaluation and intervention. Differential Diagnoses: 1. Placental Abruption (high probability given presentation) 2. Placenta Previa (less likely given pain onset) 3. Preterm Labor (possible but bleeding is a more concerning symptom) 4. Uterine Rupture (less likely, no history of prior uterine surgery) Required Actions: - Dispatch of ground EMS with ALS capabilities. - Rapid transport to nearest hospital with obstetric services. - Monitor maternal vital signs and fetal heart rate if possible. - Prepare for potential emergency C-section.