Hafnarstræti 23, 600 Akureyri, ground floor of a two-story wooden building. Main entrance faces the street. No elevator, access via two steps at the main entrance. Building constructed in 1955, known for its local business. Street parking available. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6817° N, 18.0895° W. Nearest landmark: Hof Cultural and Conference Center.
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. Secondary symptoms: Nausea, dizziness. Patient is conscious but anxious. Skin is pale and clammy. Patient is sitting on a chair in his office. Medical history: Hypertension, type 2 diabetes, hyperlipidemia. Medications: Metformin 500mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. Known allergy: Sulfa drugs. Last meal was lunch at 13:00.
Timeline: 1445 hours: Patient started experiencing mild chest discomfort. 1450 hours: Chest pain became severe, radiating to left arm and jaw. 1452 hours: Patient developed shortness of breath and diaphoresis. 1455 hours: Patient called emergency services. 1457 hours: Current time, patient is still experiencing severe chest pain and shortness of breath. Prior Events: Patient reports occasional chest discomfort in the past month, attributed to indigestion. Last medical check-up 6 months ago, routine follow-up. Patient has a family history of heart disease. No recent illnesses or injuries.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Possible Myocardial Infarction Justification for F2 Classification: - High probability of life-threatening cardiac event based on symptom presentation - Severe chest pain, radiation, shortness of breath, diaphoresis - Time-sensitive condition requiring prompt 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 history of DVT or recent surgery) 5. Esophageal Spasm (less likely, pain is not related to meals) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and acquisition upon arrival - Oxygen administration - Aspirin administration if not contraindicated - Preparation for transport to nearest hospital with cardiac catheterization lab