Miðhús 2, 900 Vestmannaeyjar. Detached single-story residential building built in 1985. Main entrance at ground level, no stairs. Street parking available. No security features. Current conditions: 10°C, overcast, moderate visibility, light winds. GPS coordinates: 63.4417° N, 20.2731° W. Nearest landmark: Vestmannaeyjar Golf Club.
28-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, patient reports feeling dizzy. Secondary symptoms: Mild nausea, patient is anxious and distressed. Patient is conscious but pale. Medical history: Gestational diabetes managed with diet, no other significant medical history. Medications: Prenatal vitamins. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient was resting at home when she experienced sudden severe abdominal pain. 1432 hours: Patient noticed bright red vaginal bleeding. 1435 hours: Patient called her partner for help. 1438 hours: Partner arrived home, called emergency services. 1440 hours: Current time, patient is lying on the couch, bleeding and in pain. Prior Events: Patient has had a normal pregnancy with regular check-ups. No prior complications or bleeding episodes. Last prenatal visit 1 week ago, all vitals were normal. No recent illnesses or injuries. Patient is primigravida.
Initial Impression: Suspected Placental Abruption Justification for F2 Classification: - High probability of significant maternal and fetal compromise based on symptoms - Severe abdominal pain and vaginal bleeding in late pregnancy - Potential for rapid deterioration requiring urgent medical intervention Differential Diagnoses: 1. Placental Abruption (high probability) 2. Placenta Previa (less likely given pain presentation) 3. Preterm Labor (less likely at 38 weeks, pain is severe and constant) 4. Uterine Rupture (less likely, no history of uterine surgery) Required Actions: - Dispatch of ground EMS with ALS capabilities - Rapid transport to nearest hospital with obstetric services - Continuous monitoring of maternal vital signs and fetal heart rate if possible - Preparation for potential emergency C-section