Hafnarstræti 96, 600 Akureyri, first floor of a two-story commercial building, converted into a small apartment. The main entrance is on the street level with a single door. There is no elevator, and access to the apartment is direct from the street. The building was constructed in the 1950s, primarily of concrete and wood. Street parking is available. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 65.6822° N, 18.0918° W. Nearest landmark: Akureyri Art Museum.
45-year-old male, experiencing severe abdominal pain, nausea, and vomiting. Primary symptoms: Intense, cramping abdominal pain, rated 8/10 on pain scale, primarily in the upper abdomen. Secondary symptoms: Nausea, frequent vomiting (3 times in the last hour), sweating, pale skin. Patient alert and oriented but appears distressed. Medical history: Reports occasional heartburn, no known allergies, no regular medications. Last meal was a large pizza around 20:00 last night. No recent travel or known exposure to illness. Patient is at home, alone.
Timeline: 03:00 hours: Patient woke up with mild abdominal discomfort 03:30 hours: Pain intensified, nausea started 04:00 hours: First episode of vomiting 04:15 hours: Second episode of vomiting 04:30 hours: Third episode of vomiting. Pain is now severe and constant 04:45 hours: Current time, patient calls emergency services. Prior Events: Patient reports no recent illnesses, no history of similar episodes. Patient admits to eating a large pizza last night. No recent alcohol or drug use. No significant past medical history.
Initial Impression: Suspected Acute Gastroenteritis or Food Poisoning Justification for F3 Classification: - Significant abdominal pain and vomiting indicate a need for medical evaluation, but no immediate life threat is apparent. - Patient is alert and oriented, vital signs are not reported as unstable - Condition is time-sensitive but not immediately critical, allowing for a standard response time. Differential Diagnoses: 1. Acute Gastroenteritis (high probability) 2. Food Poisoning (high probability given recent meal) 3. Peptic Ulcer Disease (less likely given no prior history) 4. Pancreatitis (less likely, no reported back pain) 5. Appendicitis (less likely, pain is more diffuse) Required Actions: - Dispatch of ground EMS with BLS capabilities - Assessment of vital signs - Fluid replacement and antiemetic medication if necessary - Transport to hospital for further evaluation if needed