Hafnarstræti 22, 600 Akureyri. Ground floor of a two-story wooden commercial building, built in 1950, with a single main entrance facing the street. Street parking available. The building is a small retail shop. Current conditions: 7°C, cloudy, moderate visibility. GPS coordinates: 65.6811° N, 18.0922° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm and jaw, shortness of breath, sweating, nausea. Patient reports sudden onset of symptoms while working in his shop. Secondary symptoms: Anxiety, dizziness. Patient is conscious and alert, but pale and diaphoretic. Medical history: History of hypertension, hyperlipidemia, and type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 14:30 hours: Patient reports sudden onset of chest pain while lifting a box in his shop 14:32 hours: Patient experiences radiating pain to left arm and jaw, shortness of breath, and sweating 14:34 hours: Patient sat down and called his son for help 14:36 hours: Son arrived and called emergency services 14:38 hours: Current time, patient is still experiencing chest pain and shortness of breath Prior Events: Patient reports occasional mild chest discomfort with exertion, but no prior episodes of this severity. Last medical check-up 6 months ago, routine follow-up. Patient is generally active and works in his shop daily. No recent illnesses or injuries.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction Justification for F2 Classification: - High probability of ACS based on classical presentation of severe chest pain, radiation, diaphoresis, and shortness of breath - Patient has significant risk factors for cardiovascular disease (hypertension, hyperlipidemia, diabetes) - Time-sensitive condition requiring prompt medical evaluation and intervention to limit myocardial damage Differential Diagnoses: 1. Myocardial Infarction (high probability) 2. Unstable Angina (less likely given severity of symptoms) 3. Aortic Dissection (less likely given no back pain or pulse deficit) 4. Pulmonary Embolism (less likely given no pleuritic chest pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring initiation - Oxygen administration - Preparation for transport to nearest hospital with cardiac catheterization capabilities