Hafnarstræti 18, 600 Akureyri. Ground floor of a two-story commercial building, built in 1965. Main entrance facing the street, no steps. Side entrance with a small ramp. Building has large windows. Street parking available. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6810° N, 18.0915° 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 diagnosed 5 years ago, hypercholesterolemia. Medications: Lisinopril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient reports sudden onset of chest pain while working at his desk 1417 hours: Pain intensity increases, radiating to left arm. Patient becomes diaphoretic 1418 hours: Patient calls his colleague for assistance 1420 hours: Colleague calls emergency services 1422 hours: Current time, patient still experiencing severe chest pain Prior Events: Patient reports occasional mild chest discomfort in the past month, attributed to indigestion. No prior cardiac events. Last medical check-up 6 months ago, routine follow-up. Patient has a family history of heart disease.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction Justification for F2 Classification: - High probability of a life-threatening cardiac event based on classic symptoms - Severe chest pain, radiation, diaphoresis, shortness of breath - Time-sensitive condition requiring immediate medical intervention to prevent irreversible damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (possible) 3. Aortic Dissection (less likely given presentation) 4. Pulmonary Embolism (less likely given no recent travel or immobilization) 5. Esophageal Spasm (less likely given severity and radiation of pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG acquisition and interpretation - Oxygen administration - Aspirin administration - Preparation for transport to nearest hospital with cardiac catheterization capabilities