Miðgarður 1, 700 Egilsstaðir, ground floor apartment 1B. Two-story wooden residential building constructed in 1968. Main entrance requires no key. No elevator, central stairwell. Street parking available. Building equipped with smoke detectors. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2652° N, 14.3943° W. Nearest landmark: Egilsstaðir Swimming Pool.
67-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset crushing chest pain, radiating to left arm and jaw, shortness of breath, diaphoresis. Patient is pale and anxious. Secondary symptoms: Nausea, dizziness. Patient is sitting on a chair in his living room. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient experienced sudden onset of chest pain while watching TV. 1416 hours: Pain intensified, radiating to left arm and jaw. Patient became short of breath and diaphoretic. 1417 hours: Patient called his son, Jónas Einarsson for help. 1418 hours: Son arrived and called emergency services. 1420 hours: Current time, patient sitting in chair, pale and distressed. Prior Events: Patient had an episode of similar chest pain 6 months ago, was evaluated in the ER, and diagnosed with stable angina. Patient has been compliant with medications and diet. No recent changes in health status.
Initial Impression: Suspected ST-Elevation Myocardial Infarction (STEMI) Justification for F1 Classification: - Acute onset of severe chest pain, radiating to left arm and jaw, associated with shortness of breath and diaphoresis. - High probability of life-threatening cardiac event. - Time-critical condition requiring immediate intervention to minimize myocardial damage. - Dispatch of ALS unit, pre-hospital ECG required. Differential Diagnoses: 1. STEMI (high probability) 2. Unstable Angina (less likely given severity and radiation) 3. Aortic Dissection (less likely, no tearing pain reported) 4. Pulmonary Embolism (less likely, no pleuritic pain or hemoptysis reported) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities, including pre-hospital ECG. - Early notification of receiving hospital (FSA) for potential PCI activation. - Oxygen administration and pain management protocols initiation. - Preparation for rapid transport to nearest hospital with PCI capability.