Heimagata 5, 900 Vestmannaeyjar, ground floor apartment 1B. Two-story wooden residential building constructed in 1955. Main entrance has a single wooden door with a simple lock. Street parking available. Building has basic fire safety features. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 63.4417° N, 20.2758° W. Nearest landmark: Vestmannaeyjar Golf Club.
52-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis. Patient appears pale and anxious. Secondary symptoms: Nausea. Patient is sitting on a chair in his living room. Medical history: Hypertension, hypercholesterolemia. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1410 hours: Patient started experiencing mild chest discomfort 1415 hours: Chest pain intensified, radiating to left arm and jaw 1418 hours: Patient became short of breath and started sweating profusely 1420 hours: Patient called emergency services 1422 hours: Current time, patient still experiencing severe chest pain Prior Events: Patient reports occasional mild chest discomfort in the past few months, attributed to indigestion. Last medical check-up 6 months ago, routine follow-up. Patient has a family history of heart disease. No recent illnesses or injuries.
Initial Impression: Suspected Acute ST-Elevation Myocardial Infarction (STEMI) Justification for F1 Classification: - Severe, crushing chest pain with radiation, shortness of breath, and diaphoresis highly suggestive of STEMI - Time-critical condition requiring immediate intervention to minimize myocardial damage - High risk of cardiac arrest Differential Diagnoses: 1. Acute 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, no pleuritic pain) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities - Notification of hospital emergency department for potential STEMI activation - Pre-hospital ECG if available and trained personnel - Oxygen administration and monitoring of vital signs