Hafnarstræti 23, 600 Akureyri, ground floor of a two-story wooden building, built in 1925. Main entrance facing the street, no elevator. Parking on street or nearby parking lot. No security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6828° N, 18.0876° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm and jaw, shortness of breath, sweating. Secondary symptoms: Nausea, dizziness. Patient is pale and anxious. Patient is sitting in a chair in his office. Medical history: Hypertension, type 2 diabetes, hyperlipidemia. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient reports onset of chest pain while working at his desk. 1435 hours: Pain intensifies, radiating to left arm and jaw. Patient becomes short of breath. 1437 hours: Patient feels nauseous and dizzy, breaks out in a sweat. 1440 hours: Patient calls emergency services. 1442 hours: Current time, patient still sitting in chair, experiencing severe chest pain. Prior Events: Patient has had several episodes of mild chest discomfort in the past few months, attributed to indigestion. No recent hospitalizations. Last medical check-up 6 months ago, routine follow-up.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - High probability of cardiac event based on classic presentation of chest pain radiating to left arm and jaw, shortness of breath, and diaphoresis. - Patient has multiple risk factors for ACS (hypertension, diabetes, hyperlipidemia) - Time-sensitive condition requiring prompt medical evaluation and intervention. Differential Diagnoses: 1. Acute Myocardial Infarction (AMI) (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no sudden onset of shortness of breath) 5. Esophageal Spasm (less likely, pain not related to meals) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring - Oxygen administration - Aspirin administration - Preparation for transport to nearest hospital with cardiac catheterization lab