Hótel Hérað, Miðvangur 1-3, 700 Egilsstaðir, Room 212, second floor. A modern two-story hotel building constructed in 2018. Main entrance has automatic doors. Elevator and central staircase available. Hotel parking lot in front. Building has fire alarm system and emergency lighting. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.2667° N, 14.3933° W. Nearest landmark: Egilsstaðir Airport.
32-year-old female, 34 weeks pregnant, experiencing premature rupture of membranes (PROM) and contractions. Primary symptoms: Water breaking, regular contractions every 5-7 minutes, mild abdominal pain. Secondary symptoms: Mild anxiety, no vaginal bleeding. Patient is alert and oriented. Medical history: Gestational diabetes, otherwise healthy. Medications: Insulin 10 units before meals, prenatal vitamins. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1500 hours: Patient felt a sudden gush of fluid, suspected water breaking 1505 hours: Patient began experiencing regular contractions, mild pain 1510 hours: Patient called her midwife, who advised immediate transfer to hospital 1515 hours: Current time, patient is in hotel room, awaiting ambulance Prior Events: Patient's pregnancy has been relatively uncomplicated except for gestational diabetes. She has been attending regular prenatal appointments. This is her second pregnancy, first pregnancy was full-term with no complications. No recent illnesses or injuries. Last medical check-up 2 days ago, routine follow-up.
Initial Impression: Premature Rupture of Membranes (PROM) with Preterm Labor Justification for F2 Classification: - High risk of preterm delivery due to PROM and contractions at 34 weeks gestation - Potential complications for both mother and fetus - Time-sensitive condition requiring prompt medical evaluation and transfer to a facility with neonatal care Differential Diagnoses: 1. Premature Rupture of Membranes (PROM) with Preterm Labor (most likely) 2. False Labor (less likely given water breaking) 3. Placental Abruption (less likely given no reported bleeding or severe pain) 4. Urinary Incontinence (less likely given the nature of fluid release) Required Actions: - Dispatch of ground EMS with ALS capabilities - Rapid transport to the nearest hospital with obstetric and neonatal services (Akureyri Hospital) - Continuous monitoring of maternal vital signs and fetal heart rate (if possible) - Preparation for potential preterm delivery