Miðhús 2, 900 Vestmannaeyjar. Single-story wooden residential building built in 1950. Main entrance with one step. No elevator. Street parking available. Building has a basic fire alarm. Current conditions: 10°C, partly cloudy, good visibility. GPS coordinates: 63.4408° N, 20.2689° W. Nearest landmark: Vestmannaeyjar Hospital.
35-year-old female experiencing an allergic reaction after eating shellfish. Primary symptoms: Rapid onset of urticaria (hives), facial swelling, shortness of breath, and wheezing. Secondary symptoms: Anxiety, dizziness. Patient is conscious but distressed. Skin is warm and flushed. Medical history: Known shellfish allergy, previous mild reactions. Medications: Cetirizine 10mg as needed. Last meal was shellfish soup at 18:00. No other known medical conditions. Patient is at home.
Timeline: 1800 hours: Patient consumed shellfish soup. 1810 hours: Initial symptoms of itching and hives appeared. 1815 hours: Symptoms progressed to include facial swelling and difficulty breathing. 1818 hours: Patient self-administered Cetirizine, no improvement. 1820 hours: Patient called emergency services. 1822 hours: Current time, symptoms are worsening, patient reports feeling lightheaded. Prior Events: Patient has had previous mild allergic reactions to shellfish, managed with antihistamines. No previous anaphylactic reactions. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up.
Initial Impression: Anaphylactic Reaction Secondary to Shellfish Allergy Justification for F2 Classification: - Rapid onset of systemic allergic symptoms including respiratory distress and facial swelling. - Potential for rapid deterioration to life-threatening anaphylaxis. - Time-sensitive condition requiring prompt medical intervention. Differential Diagnoses: 1. Anaphylaxis (most likely) 2. Severe Allergic Reaction (likely) 3. Angioedema (possible) 4. Asthma Exacerbation (less likely given known allergy) Required Actions: - Dispatch of ground EMS with ALS capabilities. - Oxygen administration. - Preparation for epinephrine administration and airway management if needed. - Rapid transport to nearest hospital with emergency services.