Hafnarstræti 18, 600 Akureyri, ground floor, commercial space. Single-story concrete building, constructed in 1965, with large storefront windows and a single main entrance facing the street. No internal security features. Street parking available. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6828° N, 18.0876° W. Nearest landmark: Hof Cultural and Conference Center.
65-year-old male, experiencing sudden onset of severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, lightheadedness. Patient is conscious and alert, but appears anxious. Patient is sitting in a chair in his office. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily, Aspirin 75mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1330 hours: Patient experienced sudden onset of severe chest pain while working at his desk. 1332 hours: Pain intensified, patient developed shortness of breath and diaphoresis. 1334 hours: Patient called his colleague for help, who then called emergency services. 1336 hours: Current time, patient is still experiencing severe chest pain and related symptoms. Prior Events: Patient reports having mild chest discomfort intermittently over the past few weeks, which he attributed to indigestion. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient works as an accountant and has a sedentary lifestyle.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction (MI) Justification for F2 Classification: - High probability of life-threatening cardiac event based on symptoms (severe chest pain, radiation, diaphoresis, dyspnea) - Time-sensitive condition requiring immediate medical intervention to minimize myocardial damage - Patient risk factors (age, hypertension, hyperlipidemia, diabetes) increase likelihood of ACS Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely, requires evaluation) 3. Aortic Dissection (less likely, but should be considered) 4. Pulmonary Embolism (less likely, but possible) 5. Musculoskeletal Chest Pain (less likely given symptom severity) Required Actions: - Dispatch of ground EMS with ALS capabilities - Initiate ECG monitoring and acquisition - Pain management protocols initiation - Oxygen administration - Preparation for transport to nearest hospital with cardiac catheterization capabilities