Hlíðarvegur 7, 400 Ísafjörður, single-story residential house. Built in 1985, wood frame construction. Main entrance faces south. No elevator, ramp access at front. Street parking available. Equipped with smoke detectors. Current conditions: 8°C, overcast, light wind. GPS coordinates: 66.0750° N, 23.1230° W. Nearest landmark: Ísafjörður Hospital.
65-year-old male, experiencing chest pain. Primary symptoms: Retrosternal chest pain described as pressure, radiating to left arm and jaw, onset 30 minutes ago. Secondary symptoms: Mild shortness of breath, diaphoresis, nausea. 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 10mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1330 hours: Patient began experiencing chest discomfort while resting at home. 1340 hours: Chest pain intensified, radiating to left arm and jaw, accompanied by sweating and nausea. 1350 hours: Patient contacted his wife, who called emergency services. 1355 hours: Current time, patient remains in chair, experiencing persistent chest pain. Prior Events: Patient has a history of stable angina, but this pain is more severe and prolonged than usual. No recent hospitalizations or significant changes in health. 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: - Moderate probability of significant cardiac event based on symptom presentation - Chest pain with radiation, diaphoresis, and nausea are consistent with ACS - Patient has multiple risk factors for cardiac disease - Time-sensitive condition requiring prompt medical evaluation and treatment Differential Diagnoses: 1. Acute Myocardial Infarction (Non-STEMI) (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no tearing pain reported) 4. Pericarditis (less likely, no pleuritic pain) 5. Musculoskeletal Chest Pain (less likely, pain characteristics atypical) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG acquisition and interpretation - Oxygen administration if needed - Aspirin administration if not already taken - Preparation for transport to nearest hospital with cardiac services