Miðstræti 14, 900 Vestmannaeyjar, Ground floor apartment, two-story wooden building constructed in 1955. Main entrance via street level door. No elevator. Street parking available. Building equipped with basic smoke detectors. Current conditions: 8°C, overcast, moderate visibility, light wind. GPS coordinates: 63.4417° N, 20.2706° W. Nearest landmark: Landakirkja church.
32-year-old female, 38 weeks pregnant, experiencing sudden onset of severe abdominal pain and vaginal bleeding. Primary symptoms: Intense, constant abdominal pain, bright red vaginal bleeding, dizziness. Secondary symptoms: Lightheadedness, anxiety, feeling of needing to push. Patient is alert but distressed. Skin is pale and clammy. Patient is lying on the bed in her bedroom. Medical history: Previous uncomplicated pregnancy, no known allergies. Medications: Prenatal vitamins. Last meal was a light lunch at 13:00.
Timeline: 14:15 hours: Patient experienced a sudden sharp pain in her abdomen 14:16 hours: Patient noticed bright red vaginal bleeding 14:17 hours: Patient reports feeling dizzy and lightheaded 14:18 hours: Patient called her partner for help 14:20 hours: Partner arrived, called emergency services 14:22 hours: Current time, patient still in bed, bleeding continues Prior Events: Patient had a routine check-up 2 days ago, all was normal. No recent illnesses or injuries. Patient has been experiencing mild Braxton Hicks contractions for the past week. No prior history of preterm labor.
Initial Impression: Suspected Placental Abruption Justification for F2 Classification: - High probability of significant obstetric complication based on presentation - Patient experiencing severe abdominal pain, vaginal bleeding, and signs of shock (dizziness, lightheadedness) - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Placental Abruption (high probability) 2. Placenta Previa (less likely given pain presentation) 3. Preterm Labor (possible, but bleeding is more suggestive of abruption) 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 - Monitoring of maternal vital signs and fetal heart rate (if possible) - Preparation for potential emergency C-section