Heiðarvegur 2, 900 Vestmannaeyjar, Single-story residential house built in 1985. Main entrance is on the south side, accessible via a short paved walkway. No security codes or gates. Parking available on the street. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 63.4418° N, 20.2715° W. Nearest landmark: Vestmannaeyjar Hospital.
62-year-old female, experiencing severe abdominal pain. Primary symptoms: Sudden onset of intense, sharp pain in the lower right abdomen, radiating to the back. Secondary symptoms: Nausea, vomiting, diaphoresis. Patient is pale and appears distressed. Patient is conscious and able to communicate but is in obvious pain. Medical history: Type 2 diabetes, hypertension, previous appendectomy 20 years ago. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1500 hours: Patient reports sudden onset of severe abdominal pain. 1505 hours: Pain intensifies, patient experiences nausea and vomits once. 1510 hours: Patient attempts to take over-the-counter antacid, no relief. 1515 hours: Patient calls her daughter for help. Daughter arrives. 1520 hours: Daughter calls emergency services. 1522 hours: Current time, patient still experiencing severe pain, nausea, and sweating. Prior Events: Patient has had no prior episodes of similar pain. Patient reports a recent mild cold 3 days ago. No recent surgeries or hospitalizations. Regular check-ups for diabetes and hypertension.
Initial Impression: Suspected Acute Abdomen, likely Appendicitis or other Intra-abdominal Pathology Justification for F2 Classification: - Acute onset of severe abdominal pain, associated with nausea and vomiting, indicates a potentially serious intra-abdominal condition. - Pain severity and associated symptoms suggest a need for prompt medical evaluation and intervention. - Differential diagnosis includes conditions that could rapidly deteriorate (e.g., appendicitis, bowel obstruction). Differential Diagnoses: 1. Acute Appendicitis (high probability given location and symptoms) 2. Renal Colic (possible given pain radiation) 3. Diverticulitis (less likely given history and location) 4. Bowel Obstruction (possible given vomiting) 5. Ectopic Pregnancy (less likely given patient's age) Required Actions: - Dispatch of ground EMS with ALS capabilities. - Pain management protocols initiation. - Rapid transport to nearest hospital for evaluation and imaging.