Hafnarstræti 18, 600 Akureyri, ground floor, commercial building. Two-story building constructed in 1955, concrete and wood structure. Main entrance is street-level, no steps. No elevator. Parking on the street or in the nearby parking lot. Building has a glass storefront. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6813° N, 18.0923° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain, radiating to left arm and jaw, shortness of breath, diaphoresis. Patient reports feeling lightheaded and nauseous. Patient is conscious and speaking but appears distressed. Medical history: Hypertension, hyperlipidemia, previous smoking history (quit 5 years ago). Medications: Amlodipine 10mg daily, Atorvastatin 20mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1315 hours: Patient began experiencing chest pain while working at his desk 1316 hours: Pain intensified, radiating to left arm and jaw 1317 hours: Patient became short of breath and diaphoretic 1318 hours: Patient called his son for help, who called emergency services 1320 hours: Current time, patient is sitting in a chair, pale and distressed Prior Events: Patient has experienced mild chest discomfort on exertion in the past but dismissed it as indigestion. No prior cardiac events. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, but son works nearby.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - High probability of significant cardiac event based on symptoms - Severe chest pain, radiation, shortness of breath, diaphoresis - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no reported tearing pain) 4. Pulmonary Embolism (less likely, no known risk factors) 5. Musculoskeletal Chest Pain (less likely given severity and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG acquisition - Oxygen administration - Aspirin administration (if not already taken) - Preparation for transport to nearest hospital with cardiac catheterization lab