Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. A three-story wooden building, constructed in 1935, with a shared main entrance and a narrow stairwell. No elevator available. Street parking available. Building is not equipped with a fire alarm system. Current conditions: 7°C, overcast, moderate wind, good visibility. GPS coordinates: 65.6822° N, 18.0889° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Patient is pale and anxious. Secondary symptoms: Nausea, dizziness. 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 20mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient began experiencing mild chest discomfort 1430 hours: Chest pain intensified, radiating to the left arm, associated with shortness of breath and sweating 1435 hours: Patient took a dose of Aspirin 1440 hours: Symptoms worsened, patient became increasingly anxious 1445 hours: Patient called emergency services 1447 hours: Current time, patient sitting in a chair, still experiencing chest pain Prior Events: Patient has a history of stable angina, usually relieved by rest. No recent hospitalizations or significant changes in medical condition. Last medical check-up 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Possible Myocardial Infarction Justification for F2 Classification: - High probability of cardiac event based on classic ACS symptoms (chest pain, radiation, diaphoresis, dyspnea) - Time-sensitive condition requiring immediate medical evaluation and intervention - Risk of life-threatening complications (arrhythmias, cardiac arrest) Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely given lack of tearing pain) 4. Pulmonary Embolism (less likely given absence of pleuritic pain and sudden onset) 5. Musculoskeletal Chest Pain (less likely given severity and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG acquisition and interpretation - Oxygen administration - Aspirin administration (if not already taken) - Preparation for transport to nearest hospital with cardiac catheterization lab