Hlíðarvegur 7, 400 Ísafjörður, Single-story residential house. Built in 1985, wood frame construction. Main entrance on the south side, no steps. Street parking available. No security system. Current conditions: 3°C, light snow, moderate visibility. GPS coordinates: 66.0765° N, 23.1279° W. Nearest landmark: Ísafjörður Hospital.
65-year-old male, experiencing chest pain. Primary symptoms: severe, crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Secondary symptoms: nausea, dizziness. Patient is conscious and anxious. Skin is pale and clammy. Patient is sitting upright in his living room. Medical history: Hypertension, hyperlipidemia. Medications: Ramipril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient started experiencing chest discomfort 1420 hours: Chest pain intensified, radiating to left arm 1425 hours: Patient developed shortness of breath and diaphoresis 1430 hours: Patient called emergency services 1432 hours: Current time, patient is still experiencing chest pain Prior Events: Patient reports occasional episodes of mild chest discomfort in the past, but nothing this severe. Last medical check-up was 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Suspected Acute Coronary Syndrome (Non-STEMI) Justification for F2 Classification: - High probability of cardiac ischemia based on chest pain characteristics, radiation, and associated symptoms - Time-sensitive condition requiring prompt medical evaluation and treatment - Potential for progression to life-threatening arrhythmias or myocardial infarction Differential Diagnoses: 1. Acute Myocardial Infarction (Non-STEMI) (high probability) 2. Angina Pectoris (less likely given severity and duration of symptoms) 3. Aortic Dissection (less likely, no reported tearing pain) 4. Pulmonary Embolism (less likely, no risk factors or sudden onset) 5. Musculoskeletal Chest Pain (less likely given radiation and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring initiation - Oxygen administration if needed - Aspirin administration if no contraindications - Preparation for transport to nearest hospital with cardiology services