Hafnargata 14, 465 Bíldudalur, ground floor of a single-story residential building. Constructed in 1965, concrete structure. Main entrance at street level, no stairs. No security features. Street parking available. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.7321° N, 23.5379° W. Nearest landmark: Bíldudalur harbor.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain, radiating to left arm and jaw, shortness of breath, diaphoresis. Patient reports feeling lightheaded. Patient is pale and anxious. Medical history: Hypertension, hyperlipidemia, Type 2 Diabetes. Medications: Metformin 500mg twice daily, Lisinopril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 13:00. Smoker (20 cigarettes per day).
Timeline: 14:30 hours: Patient started experiencing mild chest discomfort. 14:45 hours: Chest pain intensified, radiating to left arm and jaw, accompanied by shortness of breath. 14:50 hours: Patient became diaphoretic and lightheaded. Patient called emergency services. 14:52 hours: Current time, patient is sitting in a chair, pale and anxious. Prior Events: Patient reports similar episodes of chest discomfort in the past few months, but less severe. Last medical check-up 6 months ago, routine follow-up. Patient has a family history of heart disease. No recent illnesses or injuries.
Initial Impression: Suspected ST-Elevation Myocardial Infarction (STEMI) Justification for F1 Classification: - Classic symptoms of acute myocardial infarction: severe, crushing chest pain, radiation, diaphoresis, shortness of breath. - High risk patient with known cardiovascular risk factors. - Time-critical condition requiring immediate intervention to minimize myocardial damage. Differential Diagnoses: 1. STEMI (high probability) 2. Unstable Angina (less likely given severity and symptoms) 3. Aortic Dissection (less likely, no tearing pain reported) 4. Pulmonary Embolism (less likely, no sudden onset of dyspnea) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities. - Pre-arrival instructions for patient to chew aspirin (300mg if available). - Early hospital notification with cardiac catheterization lab capability. - ECG acquisition as soon as possible.