Hafnarstræti 22, 600 Akureyri, second floor, office 203. Three-story commercial building, constructed in 1995. Main entrance has a keypad, code is 1234. Elevator and central stairwell available. Street parking available. Building has fire alarm system. Current conditions: 7°C, clear skies, good visibility. GPS coordinates: 65.6823° N, 18.0911° W. Nearest landmark: Akureyri Art Museum.
55-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain, radiating to left arm and jaw, shortness of breath, diaphoresis. Patient reports feeling lightheaded and anxious. Skin is pale and clammy. Patient is conscious but distressed. Medical history: Hypertension, hypercholesterolemia. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 12:30.
Timeline: 1345 hours: Patient started feeling mild discomfort in his chest 1350 hours: Chest pain increased in intensity, began radiating to left arm and jaw 1352 hours: Patient experienced shortness of breath and diaphoresis 1355 hours: Patient called his colleague for help, colleague called emergency services 1357 hours: Current time, patient is sitting in his office chair, experiencing severe chest pain Prior Events: Patient reports occasional episodes of mild chest discomfort over the past few months, attributed to stress. No prior cardiac events. Last medical check-up 6 months ago, routine follow-up. Patient is a non-smoker, reports a sedentary lifestyle.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - High probability of a cardiac event based on symptom presentation and risk factors - Severe chest pain, radiating to left arm and jaw, associated with shortness of breath and diaphoresis - Time-sensitive condition requiring rapid medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no pleuritic pain) 5. Esophageal Spasm (less likely, pain pattern inconsistent) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Aspirin administration if not already taken - Preparation for transport to nearest hospital with cardiac catheterization lab