Miðstræti 21, 900 Vestmannaeyjar. Two-story wooden residential building built in 1950. Main entrance has a single wooden door with a simple lock. No elevator, only an interior staircase. Street parking available. Building has basic fire alarm system. Current conditions: 8°C, overcast, moderate visibility. GPS coordinates: 63.4409° N, 20.2701° W. Nearest landmark: Landakirkja church.
65-year-old male, reports severe, sudden onset of abdominal pain. Primary symptom: Intense, cramping pain in lower abdomen, radiating to the back. Secondary symptoms: Nausea, vomiting once, sweating. Patient is pale and appears distressed. Patient is sitting on the edge of his bed. Medical history: Type 2 diabetes, hypertension, previous episode of kidney stones 3 years ago. Medications: Metformin 500mg twice daily, Lisinopril 10mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1500 hours: Patient experienced sudden onset of severe abdominal pain. 1505 hours: Pain intensified, patient experienced nausea and vomited once. 1510 hours: Patient attempted to manage pain with over-the-counter antacids, no relief. 1515 hours: Patient called emergency services due to worsening pain. 1520 hours: Current time, patient is still experiencing severe pain and distress. Prior Events: Patient reports no recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up for diabetes. Patient reports a history of occasional mild stomach discomfort, but never of this intensity.
Initial Impression: Suspected Acute Abdomen, possible Renal Colic or Intestinal Obstruction Justification for F2 Classification: - Severe abdominal pain of sudden onset, potentially indicative of serious underlying pathology. - Presence of nausea, vomiting, and diaphoresis suggests significant physiological distress. - Patient's history of kidney stones raises suspicion for renal colic, but other causes need to be considered. - Time-sensitive condition requiring prompt medical evaluation and pain management. Differential Diagnoses: 1. Renal Colic (high probability given history) 2. Intestinal Obstruction (moderate probability due to severe cramping pain) 3. Acute Appendicitis (less likely given pain location) 4. Pancreatitis (less likely given lack of epigastric pain) 5. Aortic Aneurysm (low probability, but should be considered in differential) Required Actions: - Dispatch of ground EMS with ALS capabilities. - Pain management protocols initiation. - Assessment for signs of shock. - Preparation for transport to nearest hospital with surgical services.