Hafnarstræti 21, 600 Akureyri, ground floor of a commercial building, previously a bakery. Single-story structure with large storefront windows. Main entrance is accessible from the street, no steps. Rear entrance is locked. Building is approximately 60 years old, concrete construction. Street parking available. Current conditions: 8°C, overcast, light wind. GPS coordinates: 65.6825° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain, radiating to the left arm and jaw, shortness of breath, diaphoresis. Patient reports feeling lightheaded. Patient is pale and appears distressed. Patient is sitting on a chair in his office. Medical history: Hypertension, hypercholesterolemia, family history of heart disease. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 12:30.
Timeline: 1345 hours: Patient was working at his desk when he experienced sudden onset of chest pain 1346 hours: Patient reports pain radiating to his left arm and jaw, feeling short of breath 1347 hours: Patient called his son for help 1350 hours: Son arrived, called emergency services 1352 hours: Current time, patient is still in office, complaining of severe chest pain Prior Events: Patient reports occasional mild chest discomfort in the past month, attributed to indigestion. Last medical check-up 6 months ago, routine follow-up. Patient has been under increased stress at work recently. No recent illnesses or injuries.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) / Myocardial Infarction (MI) Justification for F2 Classification: - High probability of life-threatening cardiac event based on symptoms and risk factors - Severe chest pain with radiation, shortness of breath, diaphoresis, and lightheadedness - Time-sensitive condition requiring rapid medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely given presentation) 4. Pulmonary Embolism (less likely given primary symptoms) 5. Gastroesophageal Reflux Disease (less likely given severity and radiation of pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG acquisition and interpretation - Oxygen administration - Aspirin administration if not already taken - Preparation for transport to nearest hospital with cardiac catheterization lab