Hlíðarvegur 10, 400 Ísafjörður, single-family detached house, one story, wood frame construction, built in 1965. Main entrance on the east side, no steps. Gravel driveway. No security features. Current conditions: 3°C, clear skies, good visibility. GPS coordinates: 66.0739° N, 23.1266° W. Nearest landmark: Ísafjörður Hospital.
68-year-old male, experiencing severe chest pain. Primary symptoms: crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Patient reports feeling very unwell, and is pale and anxious. Secondary symptoms: Nausea, lightheadedness. Patient is conscious but distressed. Medical history: Hypertension, hyperlipidemia. Medications: Amlodipine 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1400 hours: Patient started experiencing mild chest discomfort. 1415 hours: Chest pain intensified and started radiating to left arm, patient felt very unwell. 1418 hours: Patient became diaphoretic and short of breath. Patient called his wife for help. 1420 hours: Wife called emergency services. 1422 hours: Current time, patient is still experiencing severe chest pain and shortness of breath. Prior Events: Patient has experienced occasional mild chest discomfort in the past, but never this severe. Last medical check-up 6 months ago, routine follow-up. Patient lives with his wife.
Initial Impression: Suspected Acute ST-Elevation Myocardial Infarction (STEMI) Justification for F1 Classification: - Severe, crushing chest pain radiating to left arm, consistent with acute myocardial infarction. - Presence of diaphoresis, shortness of breath, and nausea further supports a cardiac event. - Time-sensitive condition requiring immediate intervention to minimize myocardial damage and improve patient outcomes. Differential Diagnoses: 1. Acute STEMI (high probability) 2. Unstable Angina (less likely given severity and radiation of pain) 3. Aortic Dissection (less likely given lack of tearing pain) 4. Pulmonary Embolism (less likely given lack of pleuritic pain) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities and ECG equipment. - Pre-hospital notification of nearest PCI capable hospital (Ísafjörður Hospital). - Initiation of STEMI protocol, including oxygen, aspirin, and potentially nitroglycerin if no contraindications.