Hafnarstræti 23, 600 Akureyri. Ground floor of a two-story wooden commercial building, built in 1955. Main entrance on the street, no security features. Street parking available. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6822° N, 18.0925° W. Nearest landmark: Cultural Center Hof.
65-year-old male, experiencing severe chest pain. Primary symptoms: crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis. Patient is pale and anxious. Secondary symptoms: Nausea, dizziness. Patient is conscious and oriented. Medical history: Hypertension, hypercholesterolemia, previous myocardial infarction 5 years ago. Medications: Aspirin 75mg daily, Atorvastatin 20mg daily, Lisinopril 10mg daily, Metoprolol 50mg twice daily. Allergies: None known. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient started experiencing mild chest discomfort while walking. 1445 hours: Chest pain increased in severity, radiating to left arm and jaw. 1448 hours: Patient experienced shortness of breath and started sweating profusely. 1450 hours: Patient called his son for help. 1452 hours: Son arrived and called emergency services. 1454 hours: Current time, patient is still experiencing severe chest pain. Prior Events: Patient had a heart attack 5 years ago and underwent angioplasty. Compliant with medication regimen. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Likely Myocardial Infarction Justification for F2 Classification: - High probability of a serious cardiac event based on symptoms and history. - Chest pain radiating to left arm and jaw, shortness of breath, diaphoresis. - Patient has a history of previous MI, increasing risk of recurrence. - Time-sensitive condition requiring immediate medical intervention. Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no pleuritic chest pain) Required Actions: - Dispatch of ground EMS with ALS capabilities. - Initiate ECG monitoring and obtain 12-lead ECG. - Initiate oxygen therapy. - Administer aspirin if not already taken. - Prepare for possible transport to hospital with cardiac catheterization lab.