Heiðarvegur 14, 900 Vestmannaeyjar. Two-story wooden house built in 1955. Main entrance faces the street, with a small porch. No security features. Current conditions: 8°C, overcast, moderate wind. GPS coordinates: 63.4416° N, 20.2717° W. Nearest landmark: Vestmannaeyjar Hospital.
32-year-old female, 38 weeks pregnant, experiencing sudden onset of severe abdominal pain and vaginal bleeding. Patient is conscious but anxious. Primary symptoms: Intense abdominal cramping, bright red vaginal bleeding, and contractions occurring every 5 minutes. Secondary symptoms: Dizziness and nausea. Patient is at home. Medical history: G2P1, previous uncomplicated pregnancy, no known allergies. Medications: Prenatal vitamins daily. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient started experiencing mild abdominal discomfort 1420 hours: Abdominal pain intensified, accompanied by vaginal bleeding 1425 hours: Contractions started, occurring every 5 minutes 1430 hours: Patient called her husband who is currently at work. Husband called emergency services 1435 hours: Current time, patient is experiencing severe pain and continued bleeding Prior Events: Patient has been attending routine prenatal check-ups. No reported complications during pregnancy. Last check-up was 3 days ago, all parameters were normal. Patient reports feeling 'more tired' in the last 24 hours. No history of previous obstetric complications.
Initial Impression: Suspected Placental Abruption Justification for F2 Classification: - High probability of significant obstetric complication based on presentation (bleeding, pain, contractions) - Potential threat to both maternal and fetal well-being - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Placental Abruption (high probability) 2. Preterm Labor (less likely given gestational age) 3. Placenta Previa (less likely given pain presentation) 4. Ruptured Uterus (less likely given history and presentation) Required Actions: - Dispatch of ground EMS with ALS capabilities - Rapid transport to the nearest hospital with obstetric services (Vestmannaeyjar Hospital) - Continuous monitoring of maternal vital signs and fetal heart rate (if possible) - Preparation for potential emergency C-section