Hafnarstræti 2, 400 Ísafjörður, ground floor apartment. Two-story wooden residential building constructed in 1955. Main entrance has a small step. No elevator, access via front door. Street parking available. Building has a basic smoke alarm system. Current conditions: 8°C, overcast, moderate visibility. GPS coordinates: 66.0744° N, 23.1256° W. Nearest landmark: Ísafjörður harbor.
65-year-old female, sudden onset of severe abdominal pain. Primary symptoms: Sharp, localized pain in the lower right abdomen, nausea, and vomiting. Secondary symptoms: Patient reports feeling weak and slightly dizzy. Patient is conscious and alert, but appears distressed. Skin is pale and clammy. Patient is sitting on the sofa in her living room. Medical history: Type 2 diabetes, controlled with medication, no known allergies. Medications: Metformin 500mg twice daily, Simvastatin 20mg at night. Last meal was a light lunch at 13:00.
Timeline: 1500 hours: Patient experienced a sudden onset of sharp abdominal pain. 1505 hours: Pain intensified, accompanied by nausea and vomiting. 1510 hours: Patient attempted to use the restroom but was unable to have a bowel movement. 1515 hours: Patient called emergency services. 1520 hours: Current time, patient still experiencing severe abdominal pain, nausea, and dizziness. Prior Events: Patient reports occasional indigestion, but no previous episodes of this severity. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Suspected Acute Appendicitis or Diverticulitis. Justification for F3 Classification: - Patient presenting with severe abdominal pain, nausea, and vomiting, suggesting an acute abdominal condition. - Although not immediately life-threatening, the condition requires timely medical evaluation and treatment. - Symptoms indicate a potential surgical emergency, but patient is currently stable. Differential Diagnoses: 1. Acute Appendicitis (high probability given right lower quadrant pain) 2. Diverticulitis (possible, given age and symptoms) 3. Gastroenteritis (less likely given localized pain and severity) 4. Bowel Obstruction (less likely, no reported history of constipation) 5. Renal Colic (less likely, no reported flank pain or hematuria) Required Actions: - Dispatch of ground EMS with BLS capabilities. - Assessment of pain level and vital signs. - Preparation for transport to nearest hospital for further evaluation and possible surgical intervention.