Miðgarður 15, 900 Vestmannaeyjar. Single-story residential building, built in 1975. Main entrance is at ground level, no stairs. No elevator. Street parking available. Building has basic security (door lock). Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 63.4412° N, 20.2722° W. Nearest landmark: Vestmannaeyjar Swimming Pool.
62-year-old male, experiencing severe abdominal pain. Primary symptoms: Sudden onset of sharp, localized abdominal pain in the lower right quadrant, rated 9/10 on pain scale. Secondary symptoms: Nausea, vomiting once, mild sweating, patient is restless. Patient reports no recent trauma. Medical history: Type 2 diabetes, hypertension. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 14:30 hours: Patient reports sudden onset of severe abdominal pain. 14:35 hours: Patient vomited once. 14:40 hours: Pain is worsening, patient is restless. 14:45 hours: Caller contacted emergency services. Prior Events: Patient reports no similar episodes in the past. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Suspected Acute Appendicitis Justification for F2 Classification: - Severe, localized abdominal pain with associated symptoms suggests an acute abdominal condition - Potential for rapid deterioration if untreated - Time-sensitive condition requiring medical evaluation and pain management Differential Diagnoses: 1. Acute Appendicitis (high probability) 2. Renal Colic (possible, but pain is not typical) 3. Diverticulitis (less likely given patient age and location of pain) 4. Gastroenteritis (less likely given severity and localization of pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Pain management protocols initiation - Preparation for transport to nearest hospital with surgical services