Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building, built in 1935. Main entrance faces the street, no security system. One secondary exit at the back, leading to a small garden. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6823° N, 18.0897° W. Nearest landmark: Hof Cultural and Conference Center.
68-year-old male, experiencing severe chest pain. Primary symptoms: Central chest pain, described as crushing, radiating to left arm and jaw. Patient also reports shortness of breath, diaphoresis, and nausea. Patient is pale and anxious. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1410 hours: Patient began experiencing mild chest discomfort 1415 hours: Pain intensified, radiating to left arm and jaw 1418 hours: Patient developed shortness of breath and sweating 1420 hours: Patient called his son for help 1422 hours: Son arrived, called emergency services 1425 hours: Current time, patient sitting in a chair, pale and distressed Prior Events: Patient reports experiencing similar episodes of mild chest discomfort in the past few weeks, but these episodes were short-lived and did not radiate. Last medical check-up 6 months ago, routine follow-up. Patient is a retired fisherman, lives with his wife.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Possible Myocardial Infarction Justification for F2 Classification: - High probability of a cardiac event based on symptom presentation - Severe chest pain, radiating to left arm and jaw, associated with shortness of breath and 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 tearing pain reported) 4. Pulmonary Embolism (less likely, no sudden onset of dyspnea) 5. Gastroesophageal Reflux Disease (less likely, pain not typical) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring initiation - Oxygen administration - Pain management protocols initiation - Preparation for transport to nearest hospital with cardiology services