Miðgarður 15, 700 Egilsstaðir, Single-story residential house built in 1985. Main entrance on the south side with a ramp. No security features. Gravel driveway. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 65.2647° N, 14.3951° W. Nearest landmark: Egilsstaðir Swimming Pool.
65-year-old male, experiencing severe abdominal pain. Primary symptoms: Severe, constant abdominal pain, primarily in the epigastric region, radiating to the back. Secondary symptoms: Nausea, vomiting (x2), diaphoresis. Patient is alert but uncomfortable. Skin is pale and clammy. Patient is sitting on the sofa in his living room. Medical history: Type 2 diabetes, hypertension, previous episode of pancreatitis 3 years ago. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 20mg daily. Known allergy to penicillin. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient started experiencing mild abdominal discomfort 1430 hours: Pain intensified, becoming severe and constant 1445 hours: Patient vomited twice, accompanied by nausea and sweating 1450 hours: Patient called emergency services 1455 hours: Current time, patient still experiencing severe pain, nausea, and sweating Prior Events: Patient has had episodes of mild indigestion in the past, managed with over-the-counter antacids. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up for diabetes and hypertension. Patient lives alone.
Initial Impression: Suspected Acute Pancreatitis or Biliary Colic Justification for F3 Classification: - Severe abdominal pain, nausea, vomiting, and diaphoresis indicate a significant gastrointestinal issue - Patient has a history of pancreatitis, increasing suspicion for recurrence - Time-sensitive condition requiring medical evaluation and pain management, but not immediately life-threatening Differential Diagnoses: 1. Acute Pancreatitis (high probability given past history and symptoms) 2. Biliary Colic (possible, given location of pain and nausea) 3. Peptic Ulcer Disease (less likely, no history of ulcer symptoms) 4. Gastroenteritis (less likely, pain is severe and constant) Required Actions: - Dispatch of ground EMS with BLS capabilities - Pain management protocols initiation - Assessment of vital signs and patient condition - Preparation for transport to nearest hospital for further evaluation