Hafnarstræti 18, 600 Akureyri. Second floor of a two-story commercial building with retail on the ground floor and offices above. Built in 1965. Main entrance on the street level, stairs to the second floor. No elevator. No security features beyond standard locks. Current conditions: 7°C, overcast, moderate wind. GPS coordinates: 65.6824° N, 18.0911° W. Nearest landmark: Akureyri Art Museum.
55-year-old male, experiencing sudden onset chest pain. Primary symptoms: severe crushing chest pain, radiating to left arm and jaw, shortness of breath, diaphoresis. Patient is pale and anxious. Secondary symptoms: nausea, dizziness. Patient is sitting in his office chair. Medical history: hypertension, hyperlipidemia. Medications: Ramipril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a sandwich at 13:00.
Timeline: 14:10 hours: Patient felt a sudden onset of chest pain while working at his desk. 14:12 hours: Pain intensified, radiating to left arm and jaw. Patient experienced shortness of breath and diaphoresis. 14:14 hours: Patient called his colleague for help. 14:16 hours: Colleague called emergency services. 14:18 hours: Current time, patient is sitting in his office chair, pale and distressed. Prior Events: Patient reports occasional mild chest discomfort for the past few weeks, which he attributed to indigestion. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient is a smoker, approximately 1 pack per day.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - Classic presentation of ACS with severe chest pain, radiation, shortness of breath, and diaphoresis. - Potential for life-threatening cardiac event requiring urgent medical intervention. - Time-sensitive condition necessitating rapid response and treatment. Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, but should be considered) 4. Pulmonary Embolism (less likely, but should be considered) 5. Musculoskeletal Chest Pain (less likely given the severity and presentation) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG acquisition and interpretation - Administration of oxygen, aspirin, and pain management protocols - Preparation for rapid transport to nearest hospital with cardiac catheterization facilities