Hafnarstræti 18, 600 Akureyri, ground floor of the old fish factory. One-story concrete structure with large windows. Main entrance is a large double door facing the street. Street parking is available. No security features. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6832° N, 18.0894° 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, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious but anxious. Skin is pale and clammy. Patient is sitting on a chair in the main office area of the building. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 500mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. Known allergy: Penicillin. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient began experiencing mild chest discomfort 1415 hours: Chest pain intensified, radiating to left arm and jaw 1420 hours: Patient developed shortness of breath and diaphoresis 1422 hours: Patient called his son for help 1425 hours: Son arrived, called emergency services 1427 hours: Current time, patient sitting in chair, distressed Prior Events: Patient has a history of stable angina for the past 2 years, but reports this pain is much more severe. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient works at the fish factory, but has been on light duty due to his medical conditions.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - likely Myocardial Infarction Justification for F2 Classification: - High probability of a life-threatening cardiac event based on classic symptoms - Severe chest pain, radiation, diaphoresis, and shortness of breath indicate potential ACS - Time-sensitive condition requiring prompt medical intervention to minimize myocardial damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no reported tearing pain) 4. Pulmonary Embolism (less likely, no reported sudden onset of dyspnea without chest pain) 5. Musculoskeletal Chest Pain (less likely given severity and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring initiation - Oxygen administration - Preparation for rapid transport to nearest hospital with cardiac services