Hafnarstræti 96, 600 Akureyri, third floor apartment 3B. A five-story concrete building, constructed in 1995. Main entrance has a key code, intercom available. Elevator and stairwell access. Street parking is available, but can be limited during peak hours. Building has a basic fire suppression system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6818° N, 18.0915° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing chest pain. Primary symptoms: severe, crushing chest pain radiating to the left arm, shortness of breath, nausea, diaphoresis. Patient alert but anxious. Skin is pale and clammy. Patient is sitting upright on his sofa. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1410 hours: Patient experienced sudden onset of chest pain while watching TV. 1412 hours: Pain increased in intensity and began radiating to the left arm. 1414 hours: Patient became diaphoretic and nauseous. 1416 hours: Patient called his son for help. 1418 hours: Son arrived, called emergency services. 1420 hours: Current time, patient is sitting upright, still experiencing chest pain. Prior Events: Patient had a similar episode of mild chest discomfort two weeks ago, which resolved spontaneously. No recent hospitalizations or surgeries. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, but son lives nearby.
Initial Impression: Suspected Acute Coronary Syndrome (Non-STEMI) Justification for F2 Classification: - High probability of a cardiac event based on symptoms (chest pain, radiation, diaphoresis) - Patient has multiple risk factors (hypertension, hyperlipidemia, diabetes) - Time-sensitive condition requiring prompt medical evaluation and treatment Differential Diagnoses: 1. Non-ST-Elevation Myocardial Infarction (NSTEMI) (high probability) 2. Unstable Angina (likely) 3. Aortic Dissection (less likely given presentation) 4. Pulmonary Embolism (less likely given lack of sudden onset of shortness of breath) 5. Esophageal Spasm (less likely given severity of symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - Initiate ECG monitoring - Oxygen administration if needed - Prepare for transport to nearest hospital with cardiac catheterization lab