Heiðarvegur 22, 900 Vestmannaeyjar, single-story residential home, built in 1985. Main entrance on the north side, no security codes. Gravel driveway. Weather: 10°C, overcast, light wind. GPS: 63.4415° N, 20.2754° W. Nearest landmark: Vestmannaeyjar Golf Club.
62-year-old female, experiencing severe abdominal pain, nausea, and vomiting for the past 3 hours. Patient reports no fever, but significant discomfort. Pain described as cramping, located in the lower abdomen. Patient is pale and diaphoretic. No known allergies. Medical history: Type 2 diabetes, controlled with Metformin 500mg twice daily. Last meal was a light lunch at 13:00. No recent travel or unusual activities. Patient is conscious and able to speak.
Timeline: 1400 hours: Patient experienced mild abdominal discomfort. 1500 hours: Pain increased, accompanied by nausea. 1600 hours: First episode of vomiting. 1700 hours: Pain and vomiting continue, patient called emergency services. Prior Events: Patient reports occasional episodes of mild indigestion, but nothing of this severity. No recent changes in diet or medication. Last medical check-up was 6 months ago, routine diabetes follow-up. Patient lives alone.
Initial Impression: Suspected Acute Gastroenteritis Justification for F3 Classification: - Significant symptoms of abdominal pain, nausea, and vomiting, but no signs of severe dehydration or life-threatening condition. - Patient is conscious and able to communicate, no signs of altered mental status. - Time-sensitive but not immediately life-threatening, requiring medical evaluation and symptom management. Differential Diagnoses: 1. Acute Gastroenteritis (most likely) 2. Food Poisoning (possible) 3. Bowel Obstruction (less likely, no constipation reported) 4. Appendicitis (less likely, pain not localized to right lower quadrant) Required Actions: - Dispatch of ground EMS with BLS capabilities - Symptomatic treatment (antiemetics, fluids) as indicated - Assessment for dehydration and electrolyte imbalance - Transport to nearest medical facility for further evaluation if symptoms worsen or persist.