Hafnargata 12, 465 Bíldudalur. Two-story wooden residential building built in 1955. Main entrance with a single door. No elevator. Street parking available. Building has basic smoke detectors. Current conditions: 8°C, cloudy, moderate visibility. GPS coordinates: 65.7283° N, 23.5367° W. Nearest landmark: Bíldudalur harbor.
62-year-old male, experiencing chest pain. Primary symptoms: severe, crushing chest pain, radiating to left arm and jaw, shortness of breath, diaphoresis. Patient appears pale and anxious. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 14:30 hours: Patient started experiencing chest discomfort while resting. 14:45 hours: Chest pain intensified, radiating to left arm and jaw, associated with shortness of breath and sweating. 14:50 hours: Patient called his son for help. 14:55 hours: Son arrived and called emergency services. 15:00 hours: Current time, patient is sitting on the sofa, pale and diaphoretic. Prior Events: Patient has experienced similar episodes of chest discomfort in the past few months, but they were less severe and resolved spontaneously. He has not sought medical attention for these episodes. He has a family history of heart disease.
Initial Impression: Acute Coronary Syndrome - Non-ST Elevation Myocardial Infarction (NSTEMI) is highly suspected. Justification for F2 Classification: - Severe chest pain with radiation, shortness of breath, and diaphoresis are highly suggestive of cardiac ischemia. - Patient has multiple risk factors for coronary artery disease (hypertension, hyperlipidemia, diabetes). - Condition is potentially life-threatening and requires prompt medical intervention. Differential Diagnoses: 1. NSTEMI (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no tearing pain described) 4. Pulmonary Embolism (less likely, no specific risk factors reported) 5. Musculoskeletal Chest Pain (less likely given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities. - Initiate oxygen therapy if available. - Administer aspirin if not contraindicated. - Preparation for transport to the nearest hospital with cardiac catheterization capabilities.