Miðgarður 17, 700 Egilsstaðir, single-story detached house. Constructed in 1985, concrete foundation with wood frame. Main entrance faces south with a small porch. Gravel driveway and limited street parking. No security features. Current conditions: 10°C, overcast, good visibility. GPS coordinates: 65.2678° N, 14.3946° W. Nearest landmark: Egilsstaðir Swimming Pool.
65-year-old female, experiencing severe abdominal pain and vomiting. Primary symptoms: Intense, constant abdominal pain located in the upper abdomen, nausea, and multiple episodes of vomiting. Secondary symptoms: Weakness, dizziness, and sweating. Patient is alert but appears distressed. Skin is pale and clammy. Patient is sitting on the couch in her living room. Medical history: Type 2 diabetes managed with metformin, history of GERD. Medications: Metformin 1000mg twice daily, Omeprazole 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient experienced sudden onset of abdominal pain 1415 hours: Pain intensified, accompanied by nausea 1430 hours: Patient started vomiting, multiple episodes 1445 hours: Patient called emergency services 1447 hours: Current time, patient still experiencing pain and vomiting Prior Events: Patient reports occasional heartburn due to GERD, no previous episodes of severe abdominal pain. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, but her son lives nearby.
Initial Impression: Suspected Acute Gastroenteritis or Peptic Ulcer Disease Justification for F3 Classification: - Significant symptoms including severe abdominal pain and repeated vomiting - No immediate life-threatening symptoms such as altered mental status or chest pain - Time-sensitive condition requiring medical evaluation and symptom management Differential Diagnoses: 1. Acute Gastroenteritis (high probability given symptoms) 2. Peptic Ulcer Disease (possible given history of GERD) 3. Cholecystitis (less likely without right upper quadrant pain) 4. Pancreatitis (less likely without radiation to back) 5. Bowel Obstruction (less likely given no constipation) Required Actions: - Dispatch of ground EMS with BLS capabilities - Assessment of hydration status - Pain and nausea management - Transport to nearest hospital for evaluation