Miðgarður 11, 700 Egilsstaðir. Single-story residential building, built in 1995. Main entrance at ground level, no stairs. Wheelchair accessible. Street parking available. Building has a basic security system, no access code required. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.2633° N, 14.3933° W. Nearest landmark: Egilsstaðir Airport.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, sweating, nausea. Patient reports sudden onset of symptoms. Patient is pale and appears distressed. Medical history: History of hypertension and hyperlipidemia. Medications: Amlodipine 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1300 hours: Patient reports sudden onset of severe chest pain while resting at home 1302 hours: Pain radiates to left arm, patient becomes diaphoretic and nauseous 1304 hours: Patient calls emergency services, unable to speak in full sentences due to pain and shortness of breath 1306 hours: Current time, patient still experiencing severe chest pain, increasingly distressed Prior Events: Patient reports occasional mild chest discomfort in the past month, but no prior episodes of severe pain. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient lives alone.
Initial Impression: Suspected Acute ST-Elevation Myocardial Infarction (STEMI) Justification for F1 Classification: - High probability of life-threatening condition based on symptoms (crushing chest pain, radiation to left arm, diaphoresis, nausea) - Time-critical condition requiring immediate medical intervention to prevent irreversible myocardial damage - Potential for cardiac arrest without rapid treatment Differential Diagnoses: 1. STEMI (high probability) 2. Unstable Angina (less likely given severity and radiation of pain) 3. Aortic Dissection (less likely given no tearing pain) 4. Pulmonary Embolism (less likely given primary symptom of chest pain, not shortness of breath) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities - Early notification of receiving hospital with PCI capabilities - Pre-hospital ECG acquisition and transmission - Oxygen administration and IV access initiation