Hafnarstræti 18, 600 Akureyri, ground floor, retail shop. Single-story building with large glass windows facing the street, constructed in 1965. Main entrance is street level, no stairs or steps. Street parking available. Building has a basic fire alarm system. Current conditions: 7°C, clear sky, good visibility. GPS coordinates: 65.6823° N, 18.0909° W. Nearest landmark: Hof Cultural and Conference Center.
51-year-old male, experiencing sudden onset of severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, lightheadedness. Patient is conscious but distressed. Skin pale and clammy. Patient is sitting on a chair in the back office of his shop. Medical history: Hypertension, hyperlipidemia. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 1430 hours: Patient was working in his shop when he suddenly experienced chest pain 1432 hours: Patient sat down in his office, pain intensified 1434 hours: Patient started experiencing shortness of breath and sweating 1435 hours: Patient called his friend for help, friend called emergency services 1437 hours: Current time, patient still in office, experiencing severe chest pain Prior Events: Patient reports occasional mild chest discomfort in the past few months, no prior cardiac events. Last medical check-up 6 months ago, routine follow-up. Patient smokes 10 cigarettes daily. Family history of heart disease.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - likely Myocardial Infarction Justification for F2 Classification: - High probability of cardiac event based on classic symptoms (chest pain, radiation, diaphoresis) - Time-sensitive condition requiring rapid medical intervention to prevent further damage - Patient's history of hypertension and hyperlipidemia increase risk Differential Diagnoses: 1. Myocardial Infarction (high probability) 2. Unstable Angina (less likely, but still possible) 3. Aortic Dissection (less likely, but should be considered) 4. Pulmonary Embolism (less likely, but needs to be ruled out) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration and IV access - Preparation for transport to nearest hospital with cardiac catheterization lab