Hafnarbraut 17, 750 Vopnafjörður. Single-story wooden house built in 1960. Main entrance faces the street, no security features. Street parking available. Current conditions: 8°C, overcast, light wind. GPS coordinates: 65.7508° N, 14.8333° W. Nearest landmark: Vopnafjörður harbor.
52-year-old female, experiencing severe abdominal pain and vomiting. Primary symptoms: Sharp, cramping abdominal pain, localized in the upper abdomen, radiating to the back. Patient reports multiple episodes of vomiting, containing undigested food and bile. Secondary symptoms: Nausea, sweating, dizziness. Patient is alert but distressed. Skin is pale and clammy. Patient is lying on her side on the living room floor. Medical history: History of gallstones, no known allergies. Medications: Over-the-counter pain relievers (Ibuprofen), no regular prescription medications. Last meal was a fish dinner at 19:00.
Timeline: 2100 hours: Patient began experiencing mild abdominal discomfort. 2130 hours: Pain increased in intensity, patient experienced first episode of vomiting. 2145 hours: Patient has had three more vomiting episodes, reports severe pain. 2150 hours: Patient called emergency services. Prior Events: Patient has had similar, less severe episodes in the past, attributed to gallstones. Last medical check-up was 6 months ago, routine physical. No recent illnesses or injuries. Patient lives alone.
Initial Impression: Suspected Acute Cholecystitis/Biliary Colic Justification for F3 Classification: - Patient has significant pain and vomiting, indicating a potentially serious but not immediately life-threatening condition. - Time-sensitive condition requiring medical evaluation and pain management. - Patient is alert and stable, not exhibiting signs of shock or severe dehydration. Differential Diagnoses: 1. Acute Cholecystitis (high probability given history of gallstones) 2. Biliary Colic (likely, but needs further assessment) 3. Acute Pancreatitis (possible, requires further investigation) 4. Gastroenteritis (less likely given severity and location of pain) Required Actions: - Dispatch of ground EMS with basic life support capabilities - Pain management protocols initiation - Assessment of hydration status - Preparation for transport to nearest hospital for evaluation and potential imaging.