Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building, built in 1930. Main entrance at street level. No elevator. Secondary exit at the back leading to a small yard. No specific security features. Current conditions: 8°C, overcast, good visibility, dry roads. GPS coordinates: 65.6821° N, 18.0901° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing sudden onset of severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious and anxious. Skin is pale and clammy. Patient is sitting on a chair in his office. Medical history: Diagnosed with hypertension and hyperlipidemia. Medications: Lisinopril 10mg daily, Atorvastatin 20mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1410 hours: Patient began experiencing chest discomfort while working at his desk. 1415 hours: Chest pain intensified, radiating to left arm, accompanied by shortness of breath. 1417 hours: Patient became diaphoretic and nauseous. 1420 hours: Patient called his son for help. 1422 hours: Son arrived and called emergency services. 1425 hours: Current time, patient still experiencing severe chest pain and shortness of breath. Prior Events: Patient reports experiencing mild chest discomfort occasionally over the past few weeks, attributing it to indigestion. No prior heart attacks or hospitalizations for cardiac issues. Last medical check-up 6 months ago, routine physical.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - likely Myocardial Infarction Justification for F2 Classification: - High probability of cardiac event based on classic symptoms (chest pain, radiation, diaphoresis, shortness of breath) - Time-sensitive condition requiring prompt medical intervention to prevent further myocardial damage - Potential for rapid deterioration and life-threatening arrhythmias Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (possible, needs further evaluation) 3. Aortic Dissection (less likely, no ripping/tearing pain) 4. Pulmonary Embolism (less likely, no sudden pleuritic pain) 5. Esophageal Spasm (less likely given severity and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and cardiac monitoring - IV access and pain management protocols initiation - Preparation for transport to nearest hospital with cardiac catheterization lab