Hafnarstræti 18, 600 Akureyri. Ground floor of a two-story commercial building, built in 1965. Main entrance on the street level, no stairs. No security features. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6823° N, 18.0916° W. Nearest landmark: Hof Cultural and Conference Center.
67-year-old female, experiencing severe abdominal pain and vomiting. Primary symptoms: Intense, cramping abdominal pain localized around the umbilicus, nausea, and repeated vomiting (3 times in the last hour). Secondary symptoms: Dizziness, weakness. Patient is alert but distressed. Skin is pale and clammy. Patient is sitting on a chair in the office. Medical history: Type 2 diabetes (controlled with Metformin), previous episode of diverticulitis 2 years ago. Medications: Metformin 500mg twice daily, no known allergies. Last meal was a light lunch at 12:00.
Timeline: 1300 hours: Patient experienced mild abdominal discomfort after lunch. 1330 hours: Pain intensified, became cramping in nature, and patient felt nauseous. 1345 hours: First episode of vomiting. 1400 hours: Second and third episodes of vomiting, severe pain, dizziness. 1415 hours: Patient called emergency services. Prior Events: Patient reports no recent travel or dietary changes. Last medical check-up was 6 months ago, routine follow-up for diabetes. Patient lives alone, but her daughter works in the same building.
Initial Impression: Suspected Acute Gastroenteritis or possible diverticulitis flare-up. Justification for F3 Classification: - Patient experiencing significant symptoms (severe pain, repeated vomiting) but is alert and stable. - No immediate life-threatening signs (e.g., shock, severe dehydration). - Requires timely medical evaluation and symptom management but not immediate emergency intervention. Differential Diagnoses: 1. Acute Gastroenteritis (most likely given symptoms) 2. Diverticulitis Flare-up (possible given past history) 3. Bowel Obstruction (less likely given lack of severe distention) 4. Diabetic Ketoacidosis (less likely, no other symptoms of DKA) Required Actions: - Dispatch of ground EMS with BLS capabilities - Assessment of hydration status and vital signs - Symptomatic treatment (antiemetics, pain management) - Transport to nearest hospital for evaluation and treatment