Hafnarstræti 23, 600 Akureyri, ground floor, commercial building. Two-story building, concrete and glass construction, built in 1995. Main entrance faces the street, no security features. Street parking available. Weather conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6822° N, 18.0917° W. Nearest landmark: Akureyri Art Museum.
65-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 alert but anxious. Skin pale and clammy. Patient is sitting on a chair in his office. Medical history: Hypertension, hyperlipidemia, family history of heart disease. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily, Aspirin 75mg daily. No known allergies. Last meal was lunch at 12:00.
Timeline: 1400 hours: Patient experienced sudden onset of chest pain while working at his desk 1402 hours: Pain intensified, radiating to left arm, accompanied by shortness of breath and sweating 1405 hours: Patient felt dizzy, called his son for help 1407 hours: Son arrived, called emergency services 1410 hours: Current time, patient still experiencing severe chest pain Prior Events: Patient has had intermittent chest pain over the past few months, attributed to indigestion. Last medical check-up 6 months ago, routine follow-up. Patient has a history of smoking, quit 5 years ago. No recent illnesses or injuries.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Likely Myocardial Infarction Justification for F2 Classification: - High probability of life-threatening cardiac event based on classic symptoms (chest pain, radiation, shortness of breath) - Time-sensitive condition requiring immediate medical intervention - Patient at risk of cardiac arrest Differential Diagnoses: 1. Myocardial Infarction (high probability) 2. Unstable Angina (likely) 3. Aortic Dissection (less likely given lack of tearing pain) 4. Pulmonary Embolism (less likely given lack of sudden onset shortness of breath) 5. Musculoskeletal Chest Pain (less likely given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - Cardiac monitoring and ECG - Oxygen therapy - Aspirin administration - Preparation for transport to nearest hospital with cardiac services