Hafnarstræti 96, 600 Akureyri, ground floor, office space. Two-story brick building built in 1955. Main entrance at street level. No elevator. Street parking available. Building equipped with basic fire safety equipment. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6834° N, 18.0887° W. Nearest landmark: Akureyri Art Museum.
55-year-old male, experiencing severe chest pain. Primary symptoms: Central chest pain described as crushing, radiating to the left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is pale and anxious. Patient is sitting in a chair in his office. Medical history: Hypertension diagnosed 5 years ago, hyperlipidemia. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1315 hours: Patient experienced sudden onset of chest pain while at his desk. 1316 hours: Pain intensified, patient became short of breath and diaphoretic. 1317 hours: Patient called his colleague for help. 1318 hours: Colleague called emergency services. 1320 hours: Current time, patient still in chair, experiencing ongoing chest pain. Prior Events: Patient reports occasional mild chest discomfort with exertion in the past month, but no previous episodes of this severity. Last medical check-up was 6 months ago, routine follow-up. Patient has a family history of heart disease. No recent illnesses or injuries.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction Justification for F2 Classification: - Classic symptoms of ACS: severe chest pain, radiation, shortness of breath, diaphoresis - High risk factors: age, hypertension, hyperlipidemia, family history - Time-sensitive condition requiring rapid intervention to prevent cardiac damage Differential Diagnoses: 1. Myocardial Infarction (high probability) 2. Unstable Angina (less likely given severity of pain) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no sudden onset of dyspnea) 5. Pericarditis (less likely, no positional pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG acquisition and interpretation - Oxygen administration - Aspirin administration - Preparation for transport to nearest hospital with cardiac catheterization lab