Hafnarstræti 23, 600 Akureyri, ground floor of a two-story wooden building constructed in 1955. Main entrance faces the street, no security features. Street parking available. Current conditions: 8°C, overcast, light wind. GPS coordinates: 65.6822° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Patient reports sudden onset of symptoms 15 minutes ago. Secondary symptoms: Nausea, dizziness. Patient is conscious and alert but anxious. Skin is pale and clammy. Patient is sitting on a chair in his office. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1315 hours: Patient felt sudden onset of crushing chest pain while working at his desk. 1316 hours: Pain radiated to left arm, patient started feeling short of breath. 1317 hours: Patient became diaphoretic, felt nauseous and dizzy. 1320 hours: Patient called emergency services. 1322 hours: Current time, patient is sitting in a chair, still experiencing severe chest pain. Prior Events: Patient reports occasional mild chest discomfort in the past, but nothing as severe as this. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, but his office is in a commercial area.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Possible Myocardial Infarction Justification for F2 Classification: - High probability of life-threatening condition based on classic ACS symptoms - Severe chest pain, radiation to left arm, shortness of breath, diaphoresis - Time-sensitive condition requiring rapid medical intervention to minimize myocardial damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (less likely given severity of pain) 3. Aortic Dissection (lower probability, no tearing pain reported) 4. Pulmonary Embolism (lower probability, no recent surgery or prolonged immobility) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG monitoring - Oxygen administration - Aspirin administration (if not contraindicated) - Preparation for transport to nearest hospital with cardiac catheterization lab