Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building constructed in 1955. Main entrance faces the street, with a small step up. No elevator. Street parking available. Building is not equipped with fire suppression system. Current conditions: 8°C, overcast, moderate visibility. GPS coordinates: 65.6832° N, 18.0921° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing sudden onset chest pain. Primary symptoms: Severe, crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Patient reports feeling anxious and lightheaded. Secondary symptoms: Nausea. Patient is conscious but appears distressed. Medical history: Type 2 diabetes, hypertension, hypercholesterolemia. Medications: Metformin 500mg twice daily, Lisinopril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1315 hours: Patient began experiencing mild chest discomfort 1320 hours: Chest pain intensified, became severe and radiating 1322 hours: Patient developed shortness of breath and diaphoresis 1325 hours: Patient called his son for help 1328 hours: Son arrived, called emergency services 1330 hours: Current time, patient still experiencing severe chest pain Prior Events: Patient reports occasional mild chest discomfort over the past few weeks, attributed to indigestion. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient lives with his wife, son lives nearby.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Possible Myocardial Infarction Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptoms - Severe chest pain, radiation, shortness of breath, 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, but must be considered) 4. Pulmonary Embolism (less likely, but must be considered) 5. Esophageal Spasm (less likely given the severity and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG acquisition and transmission - Administration of aspirin if not contraindicated - Oxygen administration - Preparation for transport to nearest hospital with cardiac services