Garðarsbraut 17, 640 Húsavík, ground floor apartment. Single-story residential building constructed in 1995. Main entrance has a small ramp. Street parking available. No known security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 66.0462° N, 17.3407° W. Nearest landmark: Húsavík Swimming Pool.
65-year-old female, experiencing severe abdominal pain, nausea, and vomiting for the past 3 hours. Patient reports diffuse abdominal cramping, with no specific point of maximal tenderness. She has vomited twice, the last time was 15 minutes ago. Vomit contains food particles. She is conscious and alert, but appears pale and uncomfortable. No fever reported. Medical history: Type 2 diabetes, managed with Metformin 500mg twice daily, and mild hypertension, managed with Ramipril 5mg daily. No known allergies. Last meal was a light lunch at 13:00. Patient is in her living room.
Timeline: 1600 hours: Patient began experiencing mild abdominal discomfort. 1630 hours: Abdominal pain intensified, accompanied by nausea. 1700 hours: First episode of vomiting. 1715 hours: Second episode of vomiting. 1730 hours: Patient called emergency services due to persistent pain and vomiting. 1735 hours: Current time, patient still experiencing abdominal pain and nausea. Prior Events: Patient reports occasional episodes of indigestion, but nothing of this severity. No recent travel or known exposure to food poisoning. Last medical check-up was 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Suspected Acute Gastroenteritis Justification for F3 Classification: - Patient experiencing significant abdominal pain, nausea, and vomiting, which are concerning but not immediately life-threatening. - Patient is conscious and alert, with no signs of severe dehydration or shock. - Time-sensitive condition requiring medical evaluation, but does not require immediate intervention. Differential Diagnoses: 1. Acute Gastroenteritis (most likely) 2. Food Poisoning (possible, given symptoms) 3. Bowel Obstruction (less likely, no history of previous surgery) 4. Diabetic Ketoacidosis (less likely, no reported changes in blood glucose control) 5. Appendicitis (less likely, pain is diffuse rather than localized) Required Actions: - Dispatch of ground EMS with basic life support capabilities. - Assessment of vital signs, hydration status, and pain level. - Administration of antiemetic medication if needed. - Transport to nearest hospital for further evaluation and management.