Miðgarður 17, 700 Egilsstaðir, single-story detached house. Constructed in 1985. Main entrance at the front of the house, no security features. Gravel driveway. Weather conditions: 8°C, overcast, light wind. GPS coordinates: 65.2679° N, 14.3929° W. Nearest landmark: Egilsstaðir Swimming Pool.
65-year-old male, experiencing severe abdominal pain and vomiting. Primary symptoms: Severe, constant epigastric pain, nausea, and multiple episodes of vomiting. Secondary symptoms: Diaphoresis, mild dizziness. Patient alert but appears uncomfortable. Skin pale and clammy. Patient is sitting on the edge of his bed. Medical history: Type 2 diabetes, hypertension. Medications: Metformin 500mg twice daily, Lisinopril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient started experiencing mild epigastric discomfort 1430 hours: Pain increased in severity, patient felt nauseous 1445 hours: Patient experienced first episode of vomiting 1500 hours: Patient has vomited three times, pain is constant and severe 1515 hours: Patient called emergency services 1520 hours: Current time, patient still experiencing severe pain and nausea Prior Events: Patient reports occasional indigestion. No prior episodes of severe abdominal pain or vomiting. Last medical check-up 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Suspected Acute Gastroenteritis or Peptic Ulcer Disease Justification for F3 Classification: - Patient experiencing severe abdominal pain and vomiting, but vital signs stable - No signs of immediate life-threatening condition - Time-sensitive condition requiring medical evaluation but not an immediate emergency Differential Diagnoses: 1. Acute Gastroenteritis (most likely given symptoms) 2. Peptic Ulcer Disease (possible, given pain location) 3. Acute Pancreatitis (less likely, no radiation of pain to back) 4. Biliary Colic (less likely, pain not typically constant) 5. Bowel Obstruction (less likely, no reported constipation or distention) Required Actions: - Dispatch of ground EMS with BLS capabilities - Assessment of vital signs and pain level - Symptomatic treatment with antiemetics and analgesics - Transport to nearest hospital for further evaluation