Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. Four-story brick residential building constructed in 1965. Main entrance requires key or intercom. One elevator and central stairwell. Street parking available. Building equipped with smoke detectors. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6825° N, 18.0895° W. Nearest landmark: Akureyri Art Museum.
62-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm and jaw, shortness of breath, diaphoresis. Patient reports sudden onset of symptoms while at home. Secondary symptoms: Nausea, dizziness. Patient is conscious and anxious. Skin is pale and clammy. Patient is sitting on a chair in his living room. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. Known allergy to penicillin. Last meal was a light lunch at 12:00.
Timeline: 1430 hours: Patient reports sudden onset of severe chest pain while watching TV 1432 hours: Patient experiences increasing shortness of breath and sweating 1434 hours: Patient calls his son for help 1436 hours: Son arrives, calls emergency services 1438 hours: Current time, patient still experiencing chest pain and shortness of breath Prior Events: Patient reports occasional mild chest discomfort over the past few months, attributed to indigestion. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient is a former smoker (quit 10 years ago).
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Possible Myocardial Infarction Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptoms and risk factors - Severe chest pain, radiation, shortness of breath, diaphoresis - Time-sensitive condition requiring rapid medical 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 sudden onset of pleuritic pain) 5. Esophageal Spasm (less likely, pain is not typical) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate oxygen administration - Continuous ECG monitoring - Preparation for transport to nearest hospital with cardiac services - Aspirin administration if not contraindicated