Hafnarstræti 18, 600 Akureyri, second floor, office 203. A three-story commercial building built in 1965, renovated in 2010. Main entrance with key code access, elevator and stairwell available. Street parking on Hafnarstræti. Building equipped with a fire alarm system and security cameras. Current conditions: 8°C, overcast, moderate visibility. GPS coordinates: 65.6834° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
55-year-old male, experiencing severe chest pain at work. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious and anxious. Skin pale and clammy. Patient is sitting in an office chair. Medical history: Hypertension diagnosed 5 years ago, hypercholesterolemia. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 12:30.
Timeline: 1400 hours: Patient reports feeling mild chest discomfort. 1415 hours: Chest pain intensifies, radiating to left arm, shortness of breath develops. 1420 hours: Patient experiences diaphoresis and dizziness, colleagues call emergency services. 1422 hours: Current time, patient is conscious but distressed, awaiting EMS. Prior Events: Patient reports occasional mild chest discomfort in the past few months, attributed to indigestion. No recent hospitalizations or medical procedures. Last medical check-up 6 months ago, routine follow-up. Patient is a non-smoker, moderate alcohol consumption.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction Justification for F2 Classification: - High probability of a cardiac event based on classic symptoms (chest pain, radiation, shortness of breath, diaphoresis) - Potential for life-threatening complications (arrhythmias, cardiac arrest) - Time-sensitive condition requiring rapid intervention to limit myocardial damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely differential) 3. Aortic Dissection (less likely, no reported tearing pain) 4. Pulmonary Embolism (less likely, no risk factors) 5. Musculoskeletal Chest Pain (less likely given severity and associated symptoms) Required Actions: - Immediate dispatch of ALS ambulance - Continuous cardiac monitoring and oxygen administration - Early notification to hospital for potential cardiac catheterization - Pain management protocols initiation