Hafnarstræti 21, 600 Akureyri, first floor, office 103. Three-story brick building constructed in 1965. Main entrance has a coded lock, code is 1965. One staircase, no elevator. Street parking available. Building equipped with basic fire extinguishers. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6838° N, 18.0916° W. Nearest landmark: Akureyri Art Museum.
64-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious but appears anxious. Patient is sitting in his office chair. Medical history: Type 2 diabetes, hyperlipidemia, previous smoker. Medications: Metformin 500mg twice daily, Atorvastatin 20mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 12:30.
Timeline: 1345 hours: Patient began experiencing mild chest discomfort 1350 hours: Chest pain intensified, radiating to left arm 1352 hours: Patient became diaphoretic, short of breath, and nauseous 1355 hours: Patient called his colleague for help 1357 hours: Colleague called emergency services 1358 hours: Current time, patient is still in his office, awaiting help Prior Events: Patient has a history of stable angina, no prior heart attacks. Last medical check-up 6 months ago, routine follow-up. Patient has been under increased stress at work recently. No recent illnesses or injuries.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - High probability of cardiac event based on chest pain characteristics, radiation, and associated symptoms - Time-sensitive condition requiring prompt medical evaluation and treatment - Potential for rapid deterioration into a life-threatening event Differential Diagnoses: 1. Acute Myocardial Infarction (AMI) (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no back pain reported) 4. Pulmonary Embolism (less likely, no risk factors or specific symptoms) 5. Musculoskeletal Chest Pain (less likely given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - Cardiac monitoring and ECG acquisition - Administration of oxygen and aspirin - Preparation for transport to nearest hospital with cardiac catheterization capabilities