Hafnarstræti 22, 600 Akureyri, ground floor of a two-story wooden building built in 1955. Main entrance is accessible directly from the street. No elevator. Street parking available. Building equipped with a basic fire alarm system. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6825° N, 18.0920° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain, radiating to left arm, shortness of breath, diaphoresis. Patient reports feeling anxious and lightheaded. Secondary symptoms: Nausea, mild dizziness. Patient is sitting on a chair in his office. Medical history: Hypertension, hypercholesterolemia, family history of heart disease. Medications: Lisinopril 10mg daily, Atorvastatin 20mg daily, Aspirin 75mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 1445 hours: Patient started experiencing mild chest discomfort. 1450 hours: Chest pain increased in intensity and began radiating to the left arm. 1452 hours: Patient developed shortness of breath and diaphoresis. 1455 hours: Patient called emergency services. 1457 hours: Current time, patient is still experiencing severe chest pain and shortness of breath. Prior Events: Patient reports experiencing occasional mild chest discomfort over the past few weeks. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient works as an accountant, sedentary lifestyle.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - High probability of a serious cardiac event based on classic symptoms (chest pain, radiation, shortness of breath, diaphoresis) - Time-sensitive condition requiring immediate medical intervention to minimize myocardial damage - Patient's risk factors (hypertension, hypercholesterolemia, family history) increase suspicion for ACS Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely) 3. Aortic Dissection (less likely given no reported back pain) 4. Pulmonary Embolism (less likely given primary symptom of chest pain) 5. Esophageal Spasm (less likely given severity and radiation of pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Rapid ECG acquisition and interpretation - Oxygen administration and IV access - Preparation for transport to nearest hospital with cardiac catheterization capabilities