Miðhús 1, 900 Vestmannaeyjar, single-story residential home. Concrete foundation, wooden frame, built in 1968. Main entrance is a single door with no security code. No elevator. Street parking available. Current conditions: 8°C, overcast, moderate visibility. GPS coordinates: 63.4418° N, 20.2683° W. Nearest landmark: Vestmannaeyjar Golf Club.
56-year-old female, experiencing severe abdominal pain. Primary symptoms: Sudden onset of sharp, constant pain in the lower abdomen, radiating to the back, rated 9/10 on pain scale. Secondary symptoms: Nausea, diaphoresis, patient reports feeling faint. Patient is conscious and alert, but distressed. Skin pale and clammy. Patient is lying on her side on the living room floor. Medical history: History of kidney stones, no recent surgeries. Medications: Ibuprofen 400mg PRN, no other regular medications. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient was sitting on the sofa when she experienced a sudden onset of severe abdominal pain. 1432 hours: Patient attempted to stand but felt faint and had to lie down on the floor. 1435 hours: Patient began to experience nausea and diaphoresis. Pain intensity increased. 1438 hours: Patient called her sister for help. 1440 hours: Sister arrived and called emergency services. 1442 hours: Current time, patient still on the floor, unable to move without severe pain. Prior Events: Patient reports several episodes of kidney stones in the past 5 years, last episode was 1 year ago. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, sister lives nearby.
Initial Impression: Suspected Renal Colic/Acute Abdomen Justification for F2 Classification: - Severe pain with sudden onset, potentially indicative of a serious condition - Associated symptoms of nausea, diaphoresis, and feeling faint suggest a systemic response - Patient's history of kidney stones makes renal colic a likely differential - Time-sensitive condition requiring prompt pain management and evaluation for potential complications. Differential Diagnoses: 1. Renal Colic (high probability) 2. Appendicitis (less likely given pain location and history) 3. Diverticulitis (less likely given age and no history) 4. Ovarian Cyst Rupture (less likely given age and no other symptoms) 5. Pancreatitis (less likely given no alcohol history) Required Actions: - Dispatch of ground EMS with ALS capabilities - Pain management protocols initiation - Assessment of vital signs and monitoring - Preparation for transport to nearest hospital with surgical and urological services