Miðgarður 14, 700 Egilsstaðir. Detached single-story residential house built in 1985. Main entrance is on the south side, with a ramp for wheelchair access. No security system. Street parking available. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 65.2664° N, 14.3925° W. Nearest landmark: Egilsstaðir swimming pool.
51-year-old male, experiencing severe abdominal pain. Primary symptoms: Sharp, constant pain in the upper abdomen, radiating to the back, nausea, and vomiting. Patient reports feeling weak and sweaty. Secondary symptoms: Mild dizziness. Patient is conscious and alert but appears distressed. Medical history: History of gallstones, no known allergies, taking Omeprazole 20mg daily. Last meal was a light lunch at 13:00. Patient is currently sitting on the sofa in his living room.
Timeline: 14:00 hours: Patient started experiencing mild abdominal discomfort. 14:30 hours: Pain intensified, becoming sharp and constant, accompanied by nausea. 15:00 hours: Patient vomited once, with no relief of pain. Reports sweating and feeling weak. 15:15 hours: Patient called emergency services. 15:18 hours: Current time, patient is still experiencing severe abdominal pain and nausea. Prior Events: Patient has had similar, though less severe, episodes of abdominal pain in the past, usually relieved with antacids. No recent hospitalizations. Last medical check-up 6 months ago, routine follow-up. Patient lives with his wife, who is currently at work.
Initial Impression: Suspected Acute Cholecystitis or Biliary Colic Justification for F3 Classification: - Significant abdominal pain, nausea, and vomiting suggest a gastrointestinal issue - Patient is conscious and alert, not exhibiting signs of immediate life threat - Time-sensitive condition requiring medical evaluation, but not an immediate emergency Differential Diagnoses: 1. Acute Cholecystitis (high probability given history of gallstones) 2. Biliary Colic (high probability given pain characteristics) 3. Pancreatitis (possible, but less likely without reported alcohol use) 4. Gastritis/Peptic Ulcer Disease (possible, but less likely given pain severity) Required Actions: - Dispatch of ground EMS with basic life support capabilities - Pain management protocols initiation - Preparation for transport to the nearest hospital for further evaluation and imaging