Hafnarstræti 18, 600 Akureyri, first floor apartment 1B. Three-story wooden building constructed in 1955. Main entrance is street level, no elevator. Two entrances, front and back, both accessible. No security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6812° N, 18.0894° W. Nearest landmark: Akureyri Art Museum.
66-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm and jaw, shortness of breath, diaphoresis. Patient reports feeling very anxious and lightheaded. Secondary symptoms: Nausea, mild dizziness. Patient is conscious and able to speak in short sentences. Patient sitting on a chair in his living room. Medical history: Hypertension, hypercholesterolemia, previous smoking history (quit 5 years ago). Medications: Atorvastatin 20mg daily, Lisinopril 10mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient began experiencing mild chest discomfort while watching TV 1410 hours: Chest pain intensified, radiating to left arm and jaw, shortness of breath began 1415 hours: Patient became diaphoretic, felt lightheaded 1418 hours: Patient called his son for help 1420 hours: Son arrived and called emergency services 1422 hours: Current time, patient still sitting, experiencing severe chest pain Prior Events: Patient reports occasional mild chest discomfort in the past, attributed to indigestion. No prior hospitalizations for cardiac issues. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, son lives nearby.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction Justification for F2 Classification: - High probability of life-threatening cardiac event based on symptoms - Severe chest pain, radiation, shortness of breath, diaphoresis, anxiety - Time-sensitive condition requiring rapid medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely, requires further assessment) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no history of DVT or recent surgery) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Administration of aspirin if not already taken - Preparation for rapid transport to nearest hospital with cardiac catheterization capabilities