Hafnarstræti 18, 600 Akureyri. Ground floor of a two-story commercial building, built in 1960. Main entrance is street-level with double glass doors. No elevator. No security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6837° N, 18.0921° W. Nearest landmark: The Cultural Centre Hof.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Patient reports feeling lightheaded and nauseous. Patient is alert but anxious. 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 lunch at 13:00.
Timeline: 1500 hours: Patient began experiencing mild chest discomfort 1515 hours: Chest pain intensified, radiating to left arm, shortness of breath began 1520 hours: Patient became diaphoretic, felt lightheaded 1525 hours: Patient called his son, who then called emergency services 1528 hours: Current time, patient is sitting in a chair, clutching his chest. Prior Events: Patient reports a family history of heart disease. He has had episodes of mild chest pain in the past but never this severe. Last medical check-up 6 months ago, routine follow-up. Patient was at work when symptoms began.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction Justification for F2 Classification: - Severe chest pain with classic ACS symptoms (radiation, shortness of breath, diaphoresis) - High risk patient with multiple cardiac risk factors - Time-sensitive condition requiring rapid medical intervention to minimize myocardial damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no reported tearing pain) 4. Pulmonary Embolism (less likely, no reported pleuritic chest pain or sudden onset) 5. Musculoskeletal Chest Pain (less likely given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Aspirin administration if not already taken - Preparation for transport to nearest hospital with cardiac catheterization lab