Hafnarstræti 7, 600 Akureyri. Ground floor apartment in a three-story building constructed in 1965. Main entrance is accessible via a small ramp. Building has a fire alarm system but no elevator. Street parking is available. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6825° N, 18.0889° W. Nearest landmark: Akureyri Art Museum.
45-year-old male, experiencing severe abdominal pain, nausea, and vomiting for the past 6 hours. Patient reports feeling feverish. Patient is conscious and able to communicate but appears weak and uncomfortable. No recent travel history. Medical history includes mild hypertension, managed with medication. Patient is currently sitting on the toilet.
Timeline: 1400 hours: Patient reports onset of mild abdominal discomfort. 1500 hours: Abdominal pain intensifies, accompanied by nausea. 1600 hours: First episode of vomiting, patient reports feeling feverish. 1700 hours: Patient has had 3 episodes of vomiting, pain is severe and constant. Patient is pale and sweating. 1900 hours: Current time, patient calls emergency services. Patient has not had any oral intake since onset of symptoms. No changes in bowel habits reported, but unable to eat or drink due to nausea and vomiting. No recent illnesses or injuries. Last medical check-up was 6 months ago, routine check-up.
Initial Impression: Suspected Acute Gastroenteritis or Food Poisoning Justification for F3 Classification: - Patient is experiencing significant symptoms (abdominal pain, nausea, vomiting, fever) but is not in immediate life-threatening distress. - Condition is time-sensitive but does not require immediate intervention (as opposed to F1 or F2). - Patient is conscious and able to communicate, vital signs (if available) are likely stable but warrant monitoring. Differential Diagnoses: 1. Acute Gastroenteritis (most likely, based on symptoms and timeline) 2. Food Poisoning (possible, requires further history) 3. Appendicitis (less likely due to lack of localized pain, but needs to be considered) 4. Bowel Obstruction (less likely, no reported changes in bowel habits) 5. Renal Colic (less likely, pain not described as radiating) Required Actions: - Dispatch of ground EMS with basic life support capabilities. - Assessment of vital signs, including temperature, pulse, blood pressure, and oxygen saturation. - Pain management protocols initiation if necessary. - Transport to the nearest hospital for further evaluation and treatment.