Hafnarstræti 18, 600 Akureyri. Ground floor of a two-story wooden building, built in 1955. Main entrance is on the street level. No elevator. Parking available on the street. Building has a basic fire alarm. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6825° N, 18.0892° 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, sweating, nausea. Patient is pale and anxious. Secondary symptoms: Lightheadedness, no loss of consciousness. Patient is sitting on a chair in his living room. Medical history: Hypertension, type 2 diabetes, hypercholesterolemia. Medications: Metformin 500mg twice daily, Lisinopril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 1430 hours: Patient was watching TV when he experienced sudden chest pain. 1432 hours: Pain became severe and started radiating to the left arm. Patient became short of breath and sweaty. 1435 hours: Patient called his son for help. 1438 hours: Son arrived and called emergency services. 1440 hours: Current time, patient still experiencing chest pain, shortness of breath. Prior Events: Patient has had no prior cardiac events but has been experiencing mild chest discomfort for the past few days, which he attributed to indigestion. Last medical check-up 6 months ago, routine follow-up. Patient is a former smoker (quit 10 years ago).
Initial Impression: Suspected Acute Coronary Syndrome (ACS) / Myocardial Infarction Justification for F2 Classification: - High probability of a serious cardiac event based on the nature of the chest pain, radiation, and associated symptoms. - Time-sensitive condition requiring prompt medical intervention. - Potential for rapid deterioration. Differential Diagnoses: 1. Myocardial Infarction (high probability) 2. Unstable Angina (likely) 3. Aortic Dissection (less likely given no tearing pain) 4. Pulmonary Embolism (less likely given no history of DVT) 5. Esophageal Spasm (less likely given radiation and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities. - ECG monitoring to be initiated as soon as possible. - Oxygen administration. - Preparation for immediate transport to the nearest hospital with cardiac catheterization capabilities.