Miðgarður 14, 700 Egilsstaðir, Single-story detached house built in 1985. Main entrance faces south, no security features. Street parking available. No significant environmental hazards. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.2657° N, 14.3946° W. Nearest landmark: Egilsstaðir Airport.
62-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Patient reports feeling lightheaded and nauseous. Secondary symptoms: Anxiety, pale skin. Patient is conscious but appears distressed. Medical history: Hypertension, hyperlipidemia, previous smoker. Medications: Amlodipine 10mg daily, Atorvastatin 20mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient began experiencing mild chest discomfort 1415 hours: Chest pain intensified, radiating to left arm, shortness of breath developed 1420 hours: Patient became diaphoretic, felt nauseous, lightheaded 1422 hours: Patient called emergency services 1423 hours: Current time, patient is conscious but in severe pain Prior Events: Patient had an annual check-up 6 months ago, no significant changes noted. Patient quit smoking 5 years ago. No recent illnesses or injuries. No prior cardiac events. Patient was working in his garden when symptoms began.
Initial Impression: Suspected Acute ST-Elevation Myocardial Infarction (STEMI) Justification for F1 Classification: - Classic presentation of STEMI: severe crushing chest pain, radiation to left arm, diaphoresis, shortness of breath - High risk of sudden cardiac arrest or other life-threatening complications - Time-critical condition requiring immediate intervention to restore myocardial perfusion Differential Diagnoses: 1. Acute STEMI (high probability) 2. Unstable Angina (less likely given severity and duration of symptoms) 3. Aortic Dissection (less likely given no tearing pain) 4. Pulmonary Embolism (less likely given absence of pleuritic chest pain and sudden onset) Required Actions: - Dispatch of ground EMS with ALS capabilities immediately - Early notification of receiving hospital with cardiac cath lab - Initiate oxygen therapy and cardiac monitoring - Prepare for possible defibrillation and advanced cardiac life support (ACLS)