Hafnarbraut 12, 780 Höfn, ground floor apartment. Two-story wooden residential building constructed in 1960. Main entrance with a single door. No elevator. Street parking available. Building has a basic fire alarm system. Current conditions: 8°C, overcast, moderate visibility. GPS coordinates: 64.2500° N, 15.2000° W. Nearest landmark: Höfn harbor.
65-year-old female, experiencing severe abdominal pain and vomiting. Primary symptoms: Diffuse abdominal pain, nausea, frequent vomiting (3 times in the last hour), and reported dizziness. Secondary symptoms: Weakness, pale skin. Patient is alert but uncomfortable. Medical history: Type 2 diabetes, hypertension, and history of gastritis. Medications: Metformin 500mg twice daily, Lisinopril 10mg daily, Pantoprazole 40mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1400 hours: Patient started experiencing mild abdominal discomfort. 1430 hours: Pain increased in intensity, associated with nausea. 1500 hours: Patient vomited for the first time, followed by two more episodes. 1515 hours: Patient called emergency services due to persistent pain and vomiting. 1520 hours: Current time, patient still experiencing pain and nausea. Prior Events: Patient reports occasional mild gastritis episodes, usually managed with over-the-counter antacids. No recent changes in diet or medications. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, but has family in the same town.
Initial Impression: Suspected Acute Gastroenteritis or Gastritis Exacerbation Justification for F3 Classification: - Patient reports significant discomfort, but no immediate life-threatening signs - Symptoms are consistent with gastrointestinal issues requiring medical evaluation - Time-sensitive condition to prevent dehydration and manage pain Differential Diagnoses: 1. Acute Gastroenteritis (likely, given vomiting and abdominal pain) 2. Gastritis Exacerbation (possible, given past history) 3. Peptic Ulcer Disease (less likely, but consider if symptoms persist) 4. Diabetic Ketoacidosis (less likely, but consider if glucose levels are uncontrolled) 5. Bowel Obstruction (less likely, but consider if pain becomes severe and distended) Required Actions: - Dispatch of ground EMS with basic life support capabilities - Symptomatic treatment (antiemetics, pain management) if available - Transport to nearest hospital for evaluation and management