Hafnargata 18, 465 Bíldudalur. Single-story wooden house built in 1955. Main entrance faces the harbor. No security features. Street parking available. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 65.7021° N, 23.5392° W. Nearest landmark: Bíldudalur harbor.
65-year-old male, experiencing chest pain. Primary symptoms: Retrosternal chest pain described as pressure, radiating to left arm, onset 30 minutes ago. Secondary symptoms: Mild shortness of breath, nausea, diaphoresis. Patient alert and anxious. Skin pale and clammy. Patient is sitting in 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 started experiencing chest discomfort while watching television. 1435 hours: Chest pain increased in intensity and started radiating to the left arm. Patient started feeling nauseous and sweaty. 1440 hours: Patient called his wife, Guðrún, for assistance. 1445 hours: Guðrún called emergency services. 1447 hours: Current time, patient is still experiencing chest pain, feeling anxious and unwell. Prior Events: Patient reports occasional mild chest discomfort over the past few months, but never this severe. Last medical check-up 6 months ago, routine follow-up. Patient is a former smoker, quit 10 years ago. No recent illnesses or injuries.
Initial Impression: Suspected Acute Coronary Syndrome - Non-ST Elevation Myocardial Infarction (NSTEMI) Justification for F2 Classification: - High probability of cardiac event based on chest pain characteristics, radiation, and associated symptoms. - Patient has risk factors for coronary artery disease (hypertension, hyperlipidemia, diabetes). - Time-sensitive condition requiring prompt medical evaluation and treatment to prevent progression to STEMI or other complications. Differential Diagnoses: 1. Acute Myocardial Infarction (NSTEMI - high probability) 2. Unstable Angina (possible) 3. Aortic Dissection (less likely given pain description) 4. Pericarditis (less likely given pain characteristics) 5. Musculoskeletal Chest Pain (less likely given severity and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities. - Oxygen administration if saturation is low. - Obtain 12-lead ECG as soon as possible. - Initiate pain management protocols. - Preparation for transport to nearest hospital with cardiac services.