Hafnarstræti 97, 600 Akureyri. Ground floor of a two-story commercial building, built in 1965. Main entrance on Hafnarstræti, secondary entrance at the rear of the building. No elevators, interior stairs only. Street parking is available. Building is equipped with a basic fire alarm system. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.6817° N, 18.0886° W. Nearest landmark: Akureyri Art Museum.
62-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm, shortness of breath, diaphoresis, nausea. Patient reports feeling 'very unwell'. Secondary symptoms: Mild dizziness. Patient is conscious and alert but appears distressed. Skin is pale and clammy. 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. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1345 hours: Patient reports sudden onset of chest pain while working at his desk 1346 hours: Pain increased in intensity, radiating to left arm, shortness of breath 1347 hours: Patient started sweating profusely and feeling nauseous 1348 hours: Patient called his colleague for assistance 1350 hours: Colleague called emergency services 1352 hours: Current time, patient still experiencing chest pain and shortness of breath Prior Events: Patient reports occasional episodes of mild chest discomfort in the past few weeks, which he attributed to indigestion. No prior cardiac events or hospitalizations. Last medical check-up 6 months ago, routine follow-up. Patient is a non-smoker and consumes alcohol occasionally.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptoms - Severe chest pain radiating to left arm, shortness of breath, diaphoresis - Time-sensitive condition requiring prompt medical evaluation and treatment Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely) 3. Aortic Dissection (less likely given the patient's age and history) 4. Pulmonary Embolism (less likely given lack of risk factors) 5. Musculoskeletal Chest Pain (less likely given severity and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG monitoring - Oxygen administration - Aspirin administration if no contraindications - Preparation for rapid transport to nearest hospital with cardiac catheterization facilities