Hafnarstræti 2, 400 Ísafjörður, first floor of a two-story wooden residential building. Main entrance is at street level with a small step. No elevator. Street parking available. Building constructed in 1950. Current conditions: 8°C, overcast, light breeze, good visibility. GPS coordinates: 66.0725° N, 23.1248° W. Nearest landmark: Ísafjörður Harbour.
68-year-old male, experiencing severe abdominal pain, nausea, and vomiting for the past 6 hours. Patient reports the pain is constant and located in the upper abdomen. Patient is pale and sweating. No fever reported. Patient is alert but uncomfortable. Medical history: Type 2 diabetes, controlled with oral medication. No known allergies. Medications: Metformin 500mg twice daily, Atorvastatin 20mg daily. Last meal was a light lunch at 13:00.
Timeline: 1600 hours: Patient started experiencing mild abdominal discomfort. 1700 hours: Abdominal pain increased in severity, accompanied by nausea. 1800 hours: Patient vomited twice, both times containing undigested food. Pain remains constant. 1900 hours: Patient called emergency services. Patient reports no relief from symptoms. Patient is pale and sweating. No fever reported. Patient denies any recent travel or sick contacts. Last bowel movement was normal yesterday morning.
Initial Impression: Acute Gastroenteritis or possible Peptic Ulcer Disease. Justification for F3 Classification: - Patient reports significant but non-life-threatening symptoms, including abdominal pain, nausea, and vomiting. - Patient is alert and responsive, no signs of shock or severe dehydration. - Time-sensitive but not immediately life-threatening, warranting a standard response time. Differential Diagnoses: 1. Acute Gastroenteritis (most likely, given symptoms and lack of fever) 2. Peptic Ulcer Disease (possible, given upper abdominal pain and history of diabetes) 3. Cholecystitis (less likely, no right upper quadrant tenderness reported) 4. Pancreatitis (less likely, no history of alcohol abuse or gallstones) Required Actions: - Dispatch of ground EMS with BLS capabilities. - Assessment of vital signs and level of hydration. - Symptomatic treatment for nausea and pain. - Transport to nearest hospital for further evaluation.