Hafnarbraut 2, 780 Höfn, ground floor apartment 1B. Two-story concrete apartment building built in 1985. Main entrance is at street level. No elevator, central stairwell. Street parking available. Building equipped with basic fire safety equipment. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 64.2522° N, 15.2092° W. Nearest landmark: Höfn Harbour.
28-year-old female, 38 weeks pregnant, experiencing sudden onset of severe abdominal pain and vaginal bleeding. Patient reports contractions every 5 minutes. Patient is conscious and alert, but anxious. Primary symptoms: severe abdominal pain, bright red vaginal bleeding, regular contractions. Secondary symptoms: nausea, lightheadedness. Patient is lying on her left side in her living room. Medical history: Gestational diabetes managed with diet, no prior complications during this pregnancy. Medications: prenatal vitamins. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1410 hours: Patient experienced sudden onset of severe abdominal pain 1412 hours: Patient noted bright red vaginal bleeding 1415 hours: Contractions started, reported every 5 minutes 1418 hours: Patient called her partner, who is currently at work 1420 hours: Patient called emergency services 1422 hours: Current time, patient still experiencing contractions and bleeding Prior Events: Patient had a routine prenatal appointment 2 days ago, no issues reported. No history of prior pregnancies or miscarriages. Gestational diabetes was diagnosed at 24 weeks, well-controlled with diet. Patient reports no recent injuries or illnesses.
Initial Impression: Suspected Placental Abruption Justification for F2 Classification: - High probability of a serious obstetric complication based on the combination of severe abdominal pain, vaginal bleeding, and contractions in a late-term pregnancy. - Potential risk to both mother and fetus. - Time-sensitive condition requiring prompt medical evaluation and intervention. Differential Diagnoses: 1. Placental Abruption (high probability) 2. Preterm Labor (possible, but bleeding is concerning) 3. Placenta Previa (less likely, usually painless bleeding) 4. Uterine Rupture (less likely, but must be considered) Required Actions: - Dispatch of ground EMS with ALS capabilities - Rapid transport to nearest hospital with obstetric services - Continuous monitoring of vital signs and fetal heart rate (if possible) - Preparation for potential emergency C-section