Hafnarstræti 18, 600 Akureyri, ground floor, retail space. Single-story commercial building built in 1965, renovated in 2010. Main entrance faces the street, secondary entrance in the back alley. No elevators, no stairs. Street parking available. Building equipped with basic fire extinguishers. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6823° N, 18.0921° W. Nearest landmark: Akureyri Art Museum.
62-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Patient reports feeling of impending doom. Secondary symptoms: Nausea, dizziness. Patient is conscious but anxious. Skin pale and clammy. Patient is sitting on a chair in the back office of his shop. Medical history: Hypertension diagnosed 5 years ago, hyperlipidemia. Medications: Lisinopril 10mg daily, Atorvastatin 20mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1410 hours: Patient began experiencing mild chest discomfort 1415 hours: Chest pain intensified, radiating to left arm 1418 hours: Patient developed shortness of breath and sweating 1420 hours: Patient called his son, who then called emergency services 1423 hours: Current time, patient is still experiencing severe chest pain Prior Events: Patient has had no prior history of chest pain or cardiac events. Patient reported recent stress due to family issues. Last medical check-up was 6 months ago, routine follow-up. Patient is a non-smoker, drinks alcohol occasionally.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptoms and risk factors - Severe chest pain, radiation to left arm, shortness of breath, diaphoresis - Time-sensitive condition requiring immediate medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely given symptoms) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no specific risk factors) 5. Pericarditis (less likely, pain not positional) Required Actions: - Dispatch of ground EMS with ALS capabilities - Initiate cardiac monitoring and oxygen therapy - Administration of aspirin (if not already taken) and nitroglycerin (if indicated) - Preparation for transport to nearest hospital with cardiac catheterization capabilities