Hafnarstræti 23, 600 Akureyri, ground floor of a commercial building. Two-story concrete building constructed in 1965. Main entrance is street level, no steps. No elevator. Street parking available. Building has basic security with standard locks. Current conditions: 7°C, clear skies, good visibility. GPS coordinates: 65.6819° N, 18.0903° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Substernal chest pain, described as crushing, radiating to left arm and jaw. Secondary symptoms: Diaphoresis, nausea, shortness of breath. Patient is pale and anxious. Patient sitting in a chair in his office. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient began experiencing mild chest discomfort 1420 hours: Chest pain intensified, radiating to left arm and jaw 1425 hours: Patient became diaphoretic and nauseated 1427 hours: Patient called his colleague for help 1430 hours: Colleague called emergency services 1432 hours: Current time, patient still sitting in chair, experiencing chest pain Prior Events: Patient reports occasional mild chest discomfort in the past month, attributed to indigestion. No prior cardiac events. Last medical check-up 6 months ago, routine follow-up. Patient is a non-smoker, but has a family history of heart disease.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - High probability of cardiac event based on symptoms (chest pain, radiation, diaphoresis, nausea) - Time-sensitive condition requiring prompt medical evaluation and intervention - Potential for life-threatening complications Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no tearing pain) 4. Pericarditis (less likely, pain is not pleuritic) 5. Pulmonary Embolism (less likely, no risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - Aspirin administration - ECG monitoring - Preparation for transport to nearest hospital with cardiac services