Hafnarstræti 18, 600 Akureyri, Ground floor of a two-story wooden building constructed in 1935, used as a small office. Main entrance at street level, no elevator. Street parking available. Building equipped with basic fire extinguishers. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6823° N, 18.0897° W. Nearest landmark: Akureyri Art Museum.
58-year-old male, experiencing sudden onset of severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm and jaw, shortness of breath, diaphoresis. Patient reports feeling lightheaded and nauseous. Patient is pale and anxious. Patient is sitting in a chair in his office. Medical history: Hypertension, hypercholesterolemia, family history of heart disease. Medications: Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1410 hours: Patient reports feeling mild discomfort in his chest 1415 hours: Chest pain becomes severe, radiating to left arm and jaw 1416 hours: Patient experiences shortness of breath and diaphoresis 1418 hours: Patient called his colleague for help 1420 hours: Colleague called emergency services 1422 hours: Current time, patient is still experiencing chest pain Prior Events: Patient reports experiencing mild chest discomfort occasionally over the past few weeks, attributed it to indigestion. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient works as a financial advisor.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Possible Myocardial Infarction Justification for F2 Classification: - High probability of a cardiac event based on symptoms and risk factors - Severe chest pain radiating to left arm and jaw, shortness of breath, diaphoresis - Time-sensitive condition requiring prompt medical evaluation and 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 risk factors) 5. Musculoskeletal Chest Pain (less likely given severity and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Administration of aspirin and oxygen if indicated - Preparation for transport to nearest hospital with cardiac services