Hótel Hérað, Miðvangi 5-7, 700 Egilsstaðir. A modern 3-story hotel with a glass facade, built in 2018. Main entrance is accessible from the street. Elevator and stairwell available. Parking available in front of the hotel. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.2659° N, 14.3942° W. Nearest landmark: Egilsstaðir Airport.
32-year-old female, 34 weeks pregnant, experiencing premature rupture of membranes (PROM) and contractions. Patient reports sudden gush of fluid followed by regular contractions every 7 minutes. Patient is at Hotel Hérað in room 212. Patient is alert and anxious. No active bleeding noted. Patient is a known high-risk pregnancy due to previous preterm birth. Patient reports mild lower back pain and increased vaginal discharge. No fever reported. Medical history includes gestational diabetes, managed with diet, and previous preterm delivery at 35 weeks. Medications: Prenatal vitamins. Allergies: None known. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient reports a sudden gush of clear fluid, followed by mild contractions. 1405 hours: Contractions become regular, every 7 minutes, lasting approximately 45 seconds each. 1410 hours: Patient calls reception, who then calls emergency services. 1415 hours: Current time, patient is in her hotel room, contractions continue. Prior Events: Patient has been monitored closely due to previous preterm birth. Gestational diabetes has been well-managed with diet. No recent illnesses or injuries. Last prenatal appointment 2 days ago showed stable vital signs and no concerns. Patient was on a short holiday trip to Egilsstaðir with her partner.
Initial Impression: Preterm Premature Rupture of Membranes (PPROM) with preterm labor Justification for F2 Classification: - High risk of preterm delivery due to PROM and regular contractions at 34 weeks gestation - Potential for fetal distress and maternal complications - Time-sensitive condition requiring prompt medical evaluation and potential transfer to a facility with neonatal capabilities Differential Diagnoses: 1. Preterm Labor (high probability) 2. PROM at term (less likely given gestational age) 3. Placental Abruption (lower probability, no active bleeding) 4. Urinary Incontinence (less likely given description of fluid gush) Required Actions: - Dispatch of ground EMS with ALS capabilities - Maternal vital sign monitoring - Fetal heart rate monitoring if possible - Preparation for urgent transfer to nearest hospital with obstetric and neonatal services