Hlíðarvegur 5, 400 Ísafjörður, single-story detached house. Built in 1985, wood construction. Main entrance facing the street, one back entrance to the garden. No security features, standard door lock. Current conditions: 8°C, overcast, good visibility, light wind. GPS coordinates: 66.0773° N, 23.1233° W. Nearest landmark: Ísafjörður Hospital.
65-year-old male, experiencing chest pain. Primary symptoms: Central chest pain described as pressure, radiating to left arm and jaw, started 30 minutes ago. Secondary symptoms: Mild shortness of breath, nausea, sweating. Patient is conscious and alert, but appears anxious. Patient is sitting in a chair in his living room. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 20mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 1400 hours: Patient reports sudden onset of chest pain while watching TV 1405 hours: Pain intensity increased, patient developed shortness of breath and nausea 1410 hours: Patient took a nitroglycerin tablet sublingually with no relief 1415 hours: Patient asked his wife to call emergency services 1418 hours: Current time, patient still experiencing chest pain, sweating, and nausea Prior Events: Patient has a history of stable angina for the past 3 years, managed with medications. No recent hospitalizations. Last medical check-up was 6 months ago, routine follow-up. Patient lives with his wife.
Initial Impression: Suspected Acute Coronary Syndrome - Non STEMI Justification for F2 Classification: - Chest pain with radiation, suggestive of cardiac ischemia - Presence of associated symptoms: shortness of breath, nausea, sweating - Patient's medical history of hypertension, hyperlipidemia, and diabetes - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Acute Myocardial Infarction (Non-STEMI likely given presentation) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely given pain description) 4. Pulmonary Embolism (less likely given absence of risk factors) 5. Musculoskeletal Chest Pain (less likely given radiation and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG acquisition and interpretation - Oxygen administration - Aspirin administration - Pain management protocols initiation - Preparation for transport to nearest hospital with cardiac services