Hafnarbraut 14, 780 Höfn, single-story residential house. Built in 1985, wood construction. Main entrance faces the street. No security features. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 64.2508° N, 15.2083° W. Nearest landmark: Höfn harbor.
32-year-old female, 38 weeks pregnant, experiencing sudden onset of severe abdominal pain and vaginal bleeding. Patient reports decreased fetal movement. Primary symptoms: Severe abdominal pain, bright red vaginal bleeding, decreased fetal movement. Secondary symptoms: Dizziness, nausea. Patient alert but anxious. Skin pale and moist. Patient is at home in her living room. Medical history: Previous uncomplicated pregnancy, gestational diabetes controlled with diet, no known allergies. Medications: Prenatal vitamins, insulin as needed. Last meal was a light lunch at 13:00.
Timeline: 14:00 hours: Patient was resting at home, felt sudden sharp abdominal pain 14:05 hours: Patient noticed bright red vaginal bleeding 14:10 hours: Patient reports decreased fetal movement 14:15 hours: Patient called her husband for help 14:20 hours: Husband arrived, called emergency services 14:25 hours: Current time, patient still at home, experiencing pain and bleeding Prior Events: Patient has been monitoring blood glucose levels due to gestational diabetes. Routine prenatal check-up one week ago, no complications noted. No recent illnesses or injuries.
Initial Impression: Suspected Placental Abruption Justification for F2 Classification: - High probability of significant obstetric emergency based on sudden onset of severe pain, vaginal bleeding, and decreased fetal movement - Potential for maternal and fetal compromise requiring urgent medical attention - Time-sensitive condition requiring prompt evaluation and intervention Differential Diagnoses: 1. Placental Abruption (high probability) 2. Placenta Previa (less likely given pain) 3. Preterm Labor (possible but less likely given gestational age) 4. Uterine Rupture (less likely given previous uncomplicated pregnancy) Required Actions: - Dispatch of ground EMS with ALS capabilities - Rapid transport to nearest hospital with obstetric services - Maternal and fetal monitoring during transport - Preparation for potential emergency C-section