Hafnarstræti 18, 600 Akureyri, third floor, apartment 3B. Four-story concrete building, built in 1965, with a main entrance requiring a key or intercom access. The building has one elevator and a central stairwell. Street parking is available. The building has a fire alarm system. Current conditions: 7°C, overcast, light wind, good visibility. GPS coordinates: 65.6821° N, 18.0923° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Substernal chest pain described as crushing, radiating to left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious but anxious. Skin pale and clammy. Patient sitting on a chair in his living room. Medical history: Hypertension, type 2 diabetes, hyperlipidemia. Medications: Metformin 1000mg twice daily, Amlodipine 10mg daily, Atorvastatin 20mg daily, Aspirin 75mg daily. Known allergy to penicillin. Last meal was lunch at 13:00.
Timeline: 1500 hours: Patient experienced sudden onset of chest pain while watching television. 1502 hours: Pain intensified and began radiating to left arm and jaw. 1503 hours: Patient experienced shortness of breath and diaphoresis. 1505 hours: Patient called his son for help. 1507 hours: Son arrived and called emergency services. 1508 hours: Current time, patient still experiencing chest pain, shortness of breath, and diaphoresis. Prior Events: Patient has a history of hypertension, type 2 diabetes, and hyperlipidemia. He has been compliant with his medications. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, but his son lives nearby.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction (MI). Justification for F2 Classification: - High probability of acute cardiac event based on chest pain characteristics, radiation, and associated symptoms. - Patient at risk of life-threatening complications, requiring prompt medical evaluation and intervention. - Time-sensitive condition necessitating rapid dispatch and transport to a cardiac-capable facility. Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no reported back pain) 4. Pulmonary Embolism (less likely, no history of DVT) 5. Musculoskeletal Chest Pain (less likely given pain characteristics and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities. - Initiate ECG monitoring and interpretation. - Administer oxygen therapy if needed. - Prepare for potential administration of aspirin and nitroglycerin. - Rapid transport to nearest hospital with cardiac catheterization lab.