Miðgarður 15, 700 Egilsstaðir, single-story detached house. Constructed in 1985, concrete foundation with timber frame. Main entrance is on the south side, no security features. Driveway access from the street. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.2650° N, 14.3930° W. Nearest landmark: Egilsstaðir Airport.
65-year-old male, experiencing severe chest pain. Primary symptoms: crushing chest pain radiating to the left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: nausea, dizziness. Patient is conscious but anxious. Medical history: Hypertension, hypercholesterolemia, family history of heart disease. Medications: Amlodipine 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1410 hours: Patient began experiencing chest discomfort, initially mild. 1415 hours: Pain intensified, radiating to left arm and jaw, accompanied by shortness of breath. 1417 hours: Patient became diaphoretic and nauseous. 1420 hours: Caller (wife) called emergency services. 1422 hours: Current time, patient is still experiencing severe chest pain. Prior Events: Patient had a routine check-up 6 months ago, no recent hospitalizations. Patient reports occasional mild chest discomfort in the past few months, but never this severe. Patient is a non-smoker, but has a sedentary lifestyle.
Initial Impression: Suspected ST-Elevation Myocardial Infarction (STEMI) Justification for F1 Classification: - Severe, crushing chest pain with radiation, shortness of breath, diaphoresis are classic STEMI symptoms. - Time-critical condition requiring immediate intervention to minimize myocardial damage and risk of cardiac arrest. - Patient's age, medical history, and symptoms strongly suggest acute coronary syndrome. Differential Diagnoses: 1. STEMI (high probability) 2. Unstable Angina (less likely given severity and radiation of pain) 3. Aortic Dissection (less likely, no tearing pain reported) 4. Pericarditis (less likely, pain is not positional) 5. Pulmonary Embolism (less likely, no reported risk factors) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities. - Early notification of receiving hospital for potential PCI activation. - Pre-hospital ECG acquisition and transmission for STEMI confirmation. - Administration of aspirin and oxygen if available.