Hafnarbraut 17, 780 Höfn, ground floor of a single-story commercial building. Concrete structure built in 1985. Main entrance is on the street level, no stairs. Parking available in front of the building. No security systems. Current conditions: 8°C, clear skies, good visibility, dry roads. GPS coordinates: 64.2502° N, 15.2068° W. Nearest landmark: The harbor of Höfn.
62-year-old male, experiencing severe chest pain. Primary symptoms: crushing chest pain, radiating to left arm and jaw, shortness of breath, diaphoresis. Patient is pale and anxious. Medical history: history of hypertension and hyperlipidemia. Medications: Amlodipine 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 13:00. Patient is at his workplace in the office.
Timeline: 1415 hours: Patient started experiencing mild chest discomfort while working. 1420 hours: Chest pain intensified, radiating to left arm and jaw. Patient started to feel short of breath and sweaty. 1422 hours: Patient called his colleague for help. Colleague called emergency services. 1425 hours: Current time, patient is sitting in a chair, pale, and sweating profusely. Prior Events: Patient reports occasional mild chest discomfort over the past few weeks, which he attributed to indigestion. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient lives with his wife and has no known recent stressors.
Initial Impression: Suspected Acute ST-Elevation Myocardial Infarction (STEMI) Justification for F1 Classification: - Classic presentation of STEMI with severe crushing chest pain, radiation to left arm and jaw, shortness of breath, and diaphoresis. - High risk of cardiac arrest and sudden death without immediate intervention. - Time-critical condition requiring rapid transport to a hospital capable of performing percutaneous coronary intervention (PCI). Differential Diagnoses: 1. STEMI (high probability) 2. Unstable Angina (less likely given severity of pain and diaphoresis) 3. Aortic Dissection (less likely given lack of tearing pain) 4. Pulmonary Embolism (less likely given lack of pleuritic pain) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities. - Early notification to hospital to prepare for PCI. - Pre-hospital ECG and transmission to hospital if possible. - Administration of aspirin if not contraindicated. - Continuous monitoring of vital signs and cardiac rhythm.