Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. Five-story concrete building constructed in 1992. Main entrance has a coded lock, code is 1973. One elevator and central stairwell. Street parking available. Building equipped with smoke detectors and fire alarm system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6833° N, 18.0900° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain, radiating to the left arm and jaw, shortness of breath, diaphoresis. Patient reports feeling anxious and lightheaded. Patient is conscious but pale and distressed. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 500mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily, Aspirin 75mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 1410 hours: Patient began experiencing mild chest discomfort while watching TV 1415 hours: Chest pain increased in severity, became crushing, radiating to left arm and jaw 1417 hours: Patient began experiencing shortness of breath and diaphoresis 1420 hours: Patient called his son for help 1422 hours: Son arrived, called emergency services 1425 hours: Current time, patient sitting in a chair, distressed and pale Prior Events: Patient reports occasional mild chest discomfort with exertion in the past, but nothing like this. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, but son lives nearby.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Likely Myocardial Infarction (MI) Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptom presentation - 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 reported tearing pain) 4. Pulmonary Embolism (less likely, no recent surgery or immobilization) 5. Pericarditis (less likely, no reported fever or pleuritic pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Aspirin administration (if not already taken) - Nitroglycerin administration (if no contraindications) - Preparation for transport to nearest hospital with cardiac catheterization capabilities