Hafnarstræti 19, 600 Akureyri, ground floor retail space. Single-story concrete building built in 1965. Main entrance is at street level. No elevator. Street parking available. No security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6823° N, 18.0911° W. Nearest landmark: Hof Cultural and Conference Center.
68-year-old male, experiencing severe chest pain at his workplace. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Patient is pale and anxious. Patient is sitting on a chair. Medical history: Hypertension, type 2 diabetes, hyperlipidemia. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was lunch at 13:00, a sandwich and coffee.
Timeline: 1430 hours: Patient reports onset of mild chest discomfort 1440 hours: Chest pain intensifies, radiating to left arm, shortness of breath begins 1445 hours: Patient becomes diaphoretic and anxious 1448 hours: Co-worker calls emergency services 1450 hours: Current time, patient sitting, reporting severe pain and shortness of breath Prior Events: Patient reports experiencing similar mild chest discomfort episodes in the past month, attributed to indigestion. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient is a non-smoker but has a family history of heart disease.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - Severe chest pain with radiation, shortness of breath, and diaphoresis strongly suggestive of ACS - Time-sensitive condition requiring prompt medical intervention to reduce myocardial damage - Potential for rapid deterioration, including cardiac arrest Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (lower probability, no tearing pain reported) 4. Pulmonary Embolism (lower probability, no reported risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration and IV access - Pain management protocols initiation - Preparation for transport to nearest hospital with cardiac services