Hafnarstræti 22, 600 Akureyri, first floor, retail space converted to a small office. Two-story building, concrete and wood construction, built in 1955. Main entrance directly from the street. No elevator. Street parking available. Building has basic fire safety equipment. Current conditions: 7°C, overcast, light wind, good visibility. GPS coordinates: 65.6819° N, 18.0915° W. Nearest landmark: Akureyri Art Museum.
62-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious but anxious. Skin pale and clammy. Patient is sitting in a chair in his office. Medical history: Hypertension, hyperlipidemia. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily, Aspirin 75mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1310 hours: Patient began experiencing mild chest discomfort 1315 hours: Chest pain intensified, radiating to left arm, associated with shortness of breath 1318 hours: Patient became diaphoretic and nauseated 1320 hours: Patient called his son, who then called emergency services 1322 hours: Current time, patient still in chair, severe chest pain Prior Events: Patient reports occasional mild chest discomfort with exertion in the past, but never this severe. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient 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 classic symptoms (chest pain, radiation, shortness of breath, diaphoresis) - Time-sensitive condition requiring rapid medical intervention to reduce morbidity and mortality - Patient at risk of cardiac arrest or other serious complications Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no history of DVT) 5. Esophageal Spasm (less likely, pain is severe and associated with other symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen therapy and IV access - Aspirin administration (if not already taken) - Preparation for transport to nearest hospital with cardiac services