Hafnarstræti 18, 600 Akureyri, second floor office. A three-story commercial building, constructed in 1995. Main entrance has a code lock, access code will be provided to EMS. Stairwell and elevator access to all floors. Street parking available. Building is equipped with a fire alarm system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6832° N, 18.0921° W. Nearest landmark: Akureyri Art Museum.
55-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Patient reports feeling lightheaded and nauseous. Patient is conscious but anxious. Skin is pale and clammy. Patient is sitting at his desk in his office. Medical history: Diagnosed with hypertension and hyperlipidemia 5 years ago. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a light lunch at 12:30.
Timeline: 1345 hours: Patient began experiencing mild chest discomfort 1350 hours: Chest pain intensified, radiating to left arm, associated with shortness of breath 1352 hours: Patient began sweating and feeling lightheaded 1355 hours: Patient called emergency services 1357 hours: Current time, patient is still experiencing chest pain, shortness of breath, diaphoresis, and lightheadedness. Prior Events: Patient reports experiencing similar episodes of chest discomfort in the past, but never this severe. Last medical check-up was 6 months ago, routine follow-up. No recent illnesses or injuries. Patient is a non-smoker and occasionally drinks alcohol.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Possible Myocardial Infarction Justification for F2 Classification: - High probability of cardiac event based on classic symptoms (chest pain, radiation, diaphoresis, shortness of breath) - Potential for life-threatening complications if untreated - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (less likely given severity and duration of pain) 3. Aortic Dissection (less likely, no tearing pain reported) 4. Pulmonary Embolism (less likely, no recent history of immobility or risk factors) 5. Musculoskeletal Chest Pain (less likely given radiation and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate cardiac monitoring and ECG acquisition - Oxygen administration and IV access - Aspirin administration (if not contraindicated) - Preparation for transport to nearest hospital with cardiac catheterization capabilities