Hafnarstræti 23, 600 Akureyri, first floor of a two-story commercial building. Built in 1960, concrete structure. Main entrance on the street, no security features. Street parking available. Weather conditions: 8°C, overcast, light wind. GPS coordinates: 65.6827° N, 18.0933° W. Nearest landmark: Akureyri Art Museum.
63-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious and anxious. Patient is in his office, sitting in a chair. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 1430 hours: Patient started experiencing mild chest discomfort. 1445 hours: Chest pain intensified, radiating to left arm and jaw. 1447 hours: Patient began experiencing shortness of breath and diaphoresis. 1450 hours: Patient called his son for help. 1452 hours: Son arrived, called emergency services. 1455 hours: Current time, patient is still in his office, sitting in a chair. Prior Events: Patient reports occasional mild chest discomfort over the past few weeks, attributed to indigestion. No prior cardiac events. 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) - possible 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 arrhythmia or cardiac arrest - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no pleuritic pain or risk factors) 5. Musculoskeletal Chest Pain (less likely given symptom severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Aspirin administration - Preparation for transport to nearest hospital with cardiac catheterization capabilities