Hafnarstræti 2, 400 Ísafjörður, first floor apartment 1B. A two-story wooden building constructed in 1955. Main entrance has a simple lock. No elevator, stairwell access. Street parking available. Building has a basic fire alarm system. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 66.0738° N, 23.1279° W. Nearest landmark: Ísafjörður harbor.
68-year-old male, experiencing chest pain. Primary symptoms: Substernal chest pain, described as pressure, radiating to left arm, shortness of breath, nausea. Secondary symptoms: Diaphoresis, anxiety. Patient is conscious and alert, but distressed. Patient is sitting on a chair in his living room. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 500mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient experienced sudden onset of chest pain while watching television 1432 hours: Pain intensified, patient became short of breath and nauseous 1435 hours: Patient called his wife, who is now calling emergency services 1437 hours: Current time, patient still experiencing chest pain, wife is with him. Prior Events: Patient has a history of hypertension, hyperlipidemia, and type 2 diabetes. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient reports occasional mild chest discomfort in the past, but nothing of this severity. Patient lives with his wife.
Initial Impression: Suspected Acute Coronary Syndrome (Non-STEMI) Justification for F2 Classification: - High probability of cardiac event based on classic symptoms (chest pain, radiation, shortness of breath) - Patient has risk factors (hypertension, hyperlipidemia, diabetes) - Time-sensitive condition requiring prompt medical evaluation and treatment - Potential for progression to more severe cardiac event Differential Diagnoses: 1. Non-ST-Elevation Myocardial Infarction (NSTEMI) (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no pleuritic pain) 5. Esophageal Spasm (less likely, pain pattern and risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - Cardiac monitoring - Pain management protocols initiation - Preparation for transport to nearest hospital with cardiac services