Heimagata 7, 900 Vestmannaeyjar. Single-family detached home, built in 1985, one story with concrete foundation and wood frame. Main entrance is at the front of the house, with a small porch. No security features. Current conditions: 10°C, clear skies, good visibility. GPS coordinates: 63.4405° N, 20.2696° W. Nearest landmark: Vestmannaeyjar Hospital.
55-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain, radiating to left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious but appears distressed. Patient is sitting on a chair in his living room. Medical history: Hypertension, hyperlipidemia, 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: 14:15 hours: Patient began experiencing mild chest discomfort while watching TV. 14:20 hours: Chest pain intensified, radiating to left arm and jaw, accompanied by shortness of breath. 14:22 hours: Patient started sweating profusely and felt nauseous. 14:25 hours: Patient called emergency services. Current time, patient is still experiencing severe chest pain, feels dizzy and is struggling to breathe. Prior Events: Patient reports occasional chest discomfort in the past, attributed to indigestion. Last medical check-up was 6 months ago, routine follow-up. Father had a myocardial infarction at age 60.
Initial Impression: Suspected ST-Elevation Myocardial Infarction (STEMI) Justification for F1 Classification: - Classic presentation of acute myocardial infarction (AMI) with severe chest pain, radiation, diaphoresis, and dyspnea. - Time-critical condition requiring immediate intervention to prevent myocardial damage and cardiac arrest. - High risk of sudden cardiac death. Differential Diagnoses: 1. STEMI (high probability) 2. Unstable Angina (less likely given severity of pain and associated symptoms) 3. Aortic Dissection (less likely given lack of tearing pain and specific risk factors) 4. Pulmonary Embolism (less likely given lack of pleuritic pain and specific risk factors) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities. - Early notification of hospital for potential cardiac catheterization lab activation. - Initiate oxygen therapy, aspirin administration, and cardiac monitoring. - Prepare for potential cardiac arrest and resuscitation.