Hafnarstræti 23, 600 Akureyri, third floor office 3B. A five-story concrete building built in 1995. Main entrance has a security code. Elevator and central staircase available. Street parking available, with limited spots. Building has fire alarm system and sprinklers. Current conditions: 7°C, overcast, light wind. GPS coordinates: 65.6823° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
52-year-old male, sudden onset of severe chest pain. Primary symptoms: Crushing chest pain, radiating to left arm, shortness of breath, diaphoresis. Patient reports feeling dizzy and nauseous. Secondary symptoms: Mild anxiety. Patient is sitting in his office chair, pale and distressed. Medical history: Hyperlipidemia, family history of heart disease. Medications: Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1410 hours: Patient reports feeling sudden onset of chest pain while working at his desk. 1411 hours: Pain increases in severity, patient reports shortness of breath and dizziness. 1412 hours: Patient calls emergency services. Patient is pale and sweating. 1414 hours: Current time, patient still in office chair, experiencing severe chest pain. Prior Events: Patient reports occasional mild chest discomfort in the past month, attributed to indigestion. No prior heart attacks or significant cardiac events. Last medical check-up 6 months ago, routine follow-up. Patient has a sedentary lifestyle, works long hours at his desk.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - likely Myocardial Infarction Justification for F2 Classification: - High probability of significant cardiac event based on classic symptoms of ACS - Patient reports severe chest pain, radiating to left arm, shortness of breath, and diaphoresis - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Myocardial Infarction (high probability) 2. Angina (less likely given severity and onset) 3. Pulmonary Embolism (possible, less likely given absence of other risk factors) 4. Aortic Dissection (less likely given lack of tearing pain) 5. Musculoskeletal Pain (less likely given symptom presentation) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring initiation - Oxygen administration - Aspirin administration - Preparation for transport to nearest hospital with cardiac catheterization lab