Hafnarstræti 101, 600 Akureyri, ground floor of a mixed-use building. The building is a two-story structure with commercial units on the ground floor and residential units above. Main entrance at street level. No elevator. Building constructed in 1965. Street parking available. Current conditions: 8°C, overcast, moderate visibility. GPS coordinates: 65.6824° N, 18.0895° W. Nearest landmark: Akureyri Art Museum.
55-year-old male, experiencing severe abdominal pain, nausea, and vomiting. Patient reports onset of symptoms approximately 2 hours ago. Primary symptoms: Severe, cramping abdominal pain, located in the upper abdomen. Secondary symptoms: Nausea, vomiting (2 episodes), sweating, pale skin. Patient is alert but distressed. Patient is currently in the restroom. Medical history: History of gastritis, no known allergies. Medications: Omeprazole 20mg daily, as needed. Last meal was a light lunch at 13:00.
Timeline: 1500 hours: Patient experienced initial onset of mild abdominal discomfort. 1530 hours: Abdominal pain increased in intensity, accompanied by nausea. 1545 hours: Patient vomited for the first time. 1600 hours: Patient vomited again, pain continues to increase. Patient reports sweating and feeling unwell. 1615 hours: Patient called emergency services. 1618 hours: Current time, patient is still experiencing pain and nausea, in the restroom. Prior Events: Patient has a history of gastritis, controlled with medication. No recent illnesses or injuries. Last medical check-up was 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Suspected Acute Gastroenteritis or Gastritis Exacerbation. Justification for F3 Classification: - Patient is experiencing significant discomfort but is stable. - Symptoms include pain, nausea, and vomiting but no signs of severe dehydration or hemodynamic instability. - Time-sensitive condition requiring medical evaluation but not immediately life-threatening. Differential Diagnoses: 1. Acute Gastroenteritis (most likely given symptoms) 2. Gastritis Exacerbation (possible given history) 3. Peptic Ulcer Disease (possible, requires further evaluation) 4. Food Poisoning (possible, requires further questioning) 5. Appendicitis (less likely given pain location) Required Actions: - Dispatch of ground EMS with BLS capabilities. - Assessment of hydration status and vital signs. - Pain and nausea management. - Transport to nearest hospital if symptoms worsen or do not improve.