Abstract
You are coincidentally in the ambulance service of a small town hospital with internal and pediatric departments, surgery and gynecology. You have an ambulance car at your disposal.
After you return from a patient?s visit the nurse informs you of three new cases. As the first, a 40-year-old woman called about 1h ago; having a fever of 38.5, burning sensation on passing water, shivering, and nausea without vomiting, strong pain in the lower abdomen, 2 weeks ago treated for flu but feels worse and worse.
The second female patient called 10 min later and complained also of lower abdominal pains, associated with unexpected vaginal bleeding. 3 days ago she was examined in the gynecology department where she received contraception - intrauterine device. In the third case, a husband of a patient announced it personally, and is still waiting in the waiting room.
He says his wife fainted at home, is pale, has a cold sweat, pains in abdomen, vomited and complained also of pains in the joints.