Hafnarstræti 94, 600 Akureyri, ground floor of commercial building. Single-story concrete structure built in 1985. Main entrance on street level with double glass doors. No elevator. Street parking available. Building has a basic alarm system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6811° N, 18.0898° W. Nearest landmark: Akureyri Art Museum.
52-year-old male, experiencing severe abdominal pain. Primary symptoms: Intense, cramping abdominal pain, nausea, and vomiting. Secondary symptoms: Diaphoresis, mild dizziness. Patient is conscious and alert but distressed. Patient is sitting on a chair in the office. Medical history: Type 2 diabetes, managed with Metformin 500mg twice daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient began experiencing mild abdominal discomfort. 1415 hours: Pain intensified, accompanied by nausea. 1430 hours: Patient vomited twice, experiencing increasing diaphoresis. 1445 hours: Patient called emergency services. Current time, patient sitting in office, in pain, nauseous and pale. Prior Events: Patient reports occasional mild indigestion, but no previous episodes of this severity. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient works in the office where the incident occurred.
Initial Impression: Acute Gastroenteritis or Possible Bowel Obstruction Justification for F3 Classification: - Significant abdominal pain and vomiting indicate a need for medical evaluation - Patient is conscious and stable, but symptoms are concerning - Time-sensitive but not immediately life-threatening Differential Diagnoses: 1. Acute Gastroenteritis (most likely given symptoms) 2. Bowel Obstruction (possible, given severity of pain and vomiting) 3. Acute Pancreatitis (less likely, but needs consideration) 4. Diabetic Ketoacidosis (less likely, but needs consideration) Required Actions: - Dispatch of ground EMS with BLS capabilities - Assessment of vital signs and abdominal exam - Symptomatic treatment including antiemetics and pain management if needed - Transport to nearest hospital for further evaluation