Hafnarstræti 72, 600 Akureyri, ground floor, commercial space. Single-story concrete building constructed in 1965, previously a retail store. Main entrance at street level, no steps. No elevator. Street parking available. Building has a basic alarm system. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6822° N, 18.0911° W. Nearest landmark: Akureyri Art Museum.
68-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 is conscious but anxious. Skin is 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 12:00.
Timeline: 1330 hours: Patient began experiencing mild chest discomfort while working. 1340 hours: Chest pain intensified, radiating to the left arm, accompanied by shortness of breath and sweating. 1345 hours: Patient felt nauseous and dizzy, called his colleague for help. 1348 hours: Colleague arrived, called emergency services. 1350 hours: Current time, patient is still experiencing chest pain and shortness of breath. Prior Events: Patient reports no prior history of chest pain or cardiac events. Last medical check-up 6 months ago, routine follow-up. Patient has been under some stress at work recently. Patient is a non-smoker, drinks alcohol occasionally.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - High probability of a cardiac event based on chest pain characteristics and associated symptoms - Time-sensitive condition requiring prompt medical intervention to reduce morbidity and mortality - Patient experiencing severe chest pain, shortness of breath, and diaphoresis Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely, requires further evaluation) 3. Aortic Dissection (less likely, but must be considered) 4. Pulmonary Embolism (lower probability, but cannot be ruled out) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG acquisition and interpretation - Oxygen administration - Aspirin administration - Pain management protocols initiation - Preparation for transport to nearest hospital with cardiac services