Hafnarstræti 18, 600 Akureyri, third floor, apartment 3B. A five-story concrete building built in 1968. Main entrance has a coded lock. Elevator and stairwell access available. Street parking is available. The building is equipped with a fire alarm system. Current conditions: 7°C, cloudy, moderate visibility. GPS coordinates: 65.6822° 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, shortness of breath, diaphoresis. Patient reports feeling lightheaded and nauseous. Secondary symptoms: Anxiety, restlessness. Patient is conscious and alert but appears distressed. Skin is pale and clammy. Patient is sitting on a chair in his living room. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 20mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient began experiencing mild chest discomfort while watching TV. 1435 hours: Chest pain intensified, radiating to left arm, shortness of breath started. 1438 hours: Patient developed nausea and diaphoresis, felt lightheaded. 1440 hours: Patient called his son for help. 1442 hours: Son arrived, called emergency services. 1445 hours: Current time, patient still sitting in chair, experiencing severe chest pain. Prior Events: Patient has a history of stable angina, but reports this pain is much worse. Last medical check-up 6 months ago, routine follow-up. No recent changes in medication. Patient has been compliant with his prescribed medications. Reports no recent illnesses or injuries.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Possible Myocardial Infarction Justification for F2 Classification: - High probability of cardiac event based on chest pain, radiation, shortness of breath, diaphoresis - Patient has multiple risk factors (hypertension, hyperlipidemia, diabetes) - Time-sensitive condition requiring prompt medical evaluation and intervention 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 specific risk factors reported) 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 contraindicated - Preparation for transport to nearest hospital with cardiac catheterization lab