Miðgarður 11, 700 Egilsstaðir. Single-story residential house built in 1985. Main entrance is at the front of the house. No security features. Gravel driveway. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2678° N, 14.3934° W. Nearest landmark: Egilsstaðir Swimming Pool.
68-year-old female, experiencing severe abdominal pain and vomiting. Primary symptoms: Diffuse abdominal pain, nausea, and multiple episodes of vomiting over the last 4 hours. Secondary symptoms: Weakness and dizziness. Patient is alert but appears pale and diaphoretic. Medical history: Type 2 diabetes, hypertension, and a previous episode of diverticulitis 2 years ago. Medications: Metformin 500mg twice daily, Lisinopril 10mg daily. Allergies: Sulfa drugs. Last meal was a light lunch at 12:00.
Timeline: 1300 hours: Patient experienced initial mild abdominal discomfort 1400 hours: Pain increased in intensity, accompanied by nausea 1500 hours: First episode of vomiting 1600 hours: Multiple episodes of vomiting, pain remains severe 1630 hours: Patient called emergency services Prior Events: Patient has been feeling unwell for the past 24 hours, with mild nausea and reduced appetite. No fever or chills reported. No recent travel or unusual dietary intake. Last medical check-up 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Suspected Acute Gastroenteritis or Possible Diverticulitis Flare-Up Justification for F3 Classification: - Significant gastrointestinal symptoms (severe pain, vomiting) - Patient has a relevant medical history (previous diverticulitis) - Condition is not immediately life-threatening but requires medical evaluation - Standard response time appropriate due to patient stability and lack of critical signs Differential Diagnoses: 1. Acute Gastroenteritis (likely due to symptoms and timeline) 2. Diverticulitis Flare-Up (possible due to prior history) 3. Bowel Obstruction (less likely, no reported constipation) 4. Food Poisoning (possible, but no other family members affected) 5. Pancreatitis (less likely, no radiation of pain to the back) 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 further evaluation and treatment