Hafnarstræti 23, 600 Akureyri, ground floor of a two-story wooden building, built in 1935, with a single main entrance facing the street. No elevator. Street parking available. Building is a commercial space with retail on the ground floor and offices above. Current conditions: 8°C, overcast, light wind. GPS coordinates: 65.6812° N, 18.0915° W. Nearest landmark: Akureyri Art Museum.
55-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 is pale and clammy. Patient is sitting on a chair in the office. Medical history: Hypertension diagnosed 5 years ago, hypercholesterolemia. Medications: Lisinopril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1315 hours: Patient began experiencing mild chest discomfort. 1320 hours: Chest pain intensified, radiating to the left arm, accompanied by shortness of breath. 1322 hours: Patient became diaphoretic and nauseous. 1325 hours: Patient called his colleague for help, who then called emergency services. 1327 hours: Current time, patient is sitting down, experiencing severe pain. Prior Events: Patient reports occasional mild chest discomfort over the past month, but no previous severe episodes. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient works in an office environment.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - High probability of a cardiac event based on classic symptoms (chest pain, radiation, shortness of breath, diaphoresis) - Potential for rapid deterioration and life-threatening complications - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (AMI) (high probability) 2. Unstable Angina (likely) 3. Aortic Dissection (less likely given presentation) 4. Pulmonary Embolism (less likely given presentation) 5. Musculoskeletal Chest Pain (less likely given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - Cardiac monitoring - Aspirin administration if not contraindicated - Preparation for rapid transport to nearest hospital with cardiac catheterization capabilities