Hafnarstræti 18, 600 Akureyri, ground floor of a commercial building. Two-story concrete structure built in 1960, recently renovated. Main entrance at street level, no security features. No elevator. Parking available on the street. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6821° N, 18.0902° W. Nearest landmark: Akureyri Art Museum.
45-year-old male, experiencing severe abdominal pain and vomiting. Primary symptoms: Intense, cramping abdominal pain in the epigastric region, frequent vomiting (3 times in the last hour), nausea, and sweating. Secondary symptoms: Patient reports feeling weak and dizzy. Patient is conscious and alert but appears uncomfortable. Medical history: Patient reports a history of occasional heartburn, no known allergies. Medications: Antacids as needed. Last meal was a large portion of fish and chips at 18:00.
Timeline: 2000 hours: Patient started experiencing mild abdominal discomfort 2030 hours: Pain intensified, nausea began 2100 hours: First episode of vomiting 2130 hours: Vomiting continued, now 3 episodes in the past hour. Patient also reports sweating and dizziness. 2145 hours: Patient called emergency services 2147 hours: Current time, patient is at home, sitting on the sofa, still experiencing pain and nausea. Prior Events: Patient reports no recent illnesses, injuries, or significant medical events. Has had similar, milder episodes of abdominal pain after eating greasy foods, but this is the most severe episode. Last medical check-up was 6 months ago for routine check-up.
Initial Impression: Suspected Acute Gastroenteritis or Food Poisoning Justification for F3 Classification: - Significant symptoms of gastrointestinal distress (pain, vomiting, nausea) - Patient is conscious and alert, no signs of shock or severe dehydration - Condition is time-sensitive but not immediately life-threatening - Requires medical evaluation but not immediate intervention Differential Diagnoses: 1. Acute Gastroenteritis (most likely) 2. Food Poisoning (possible given recent meal) 3. Peptic Ulcer Disease (less likely, no history of ulcer) 4. Pancreatitis (less likely, no reported back pain or alcohol abuse) 5. Appendicitis (less likely, pain is more generalized and no fever reported) Required Actions: - Dispatch of ground EMS with BLS capabilities - Assessment of hydration status and vital signs - Symptomatic treatment (antiemetics if available) - Transport to hospital for evaluation and treatment if symptoms worsen or persist