Hafnarstræti 18, 600 Akureyri, ground floor, retail space. Single-story commercial building constructed in 1960. Main entrance is a glass door facing the street. No elevators, flat access. Street parking available. Building has basic fire alarm system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6818° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing sudden onset chest pain. Primary symptoms: Severe, crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is pale and anxious. Patient sitting on a chair in the back office of his store. Medical history: Hypertension, hyperlipidemia, history of smoking. Medications: Amlodipine 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 12:30.
Timeline: 1345 hours: Patient started experiencing chest discomfort while stocking shelves. 1348 hours: Pain became severe, radiating to the left arm, accompanied by shortness of breath. 1350 hours: Patient sat down in his office and called his son for help. 1352 hours: Son arrived, called emergency services. 1355 hours: Current time, patient is still experiencing severe chest pain. Prior Events: Patient reports occasional mild chest discomfort for the past few weeks, attributed to indigestion. No prior cardiac events or hospitalizations. Last check-up was 6 months ago, routine follow-up. Patient lives with his wife, son works nearby.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction Justification for F2 Classification: - High probability of life-threatening cardiac event based on symptoms and risk factors - Severe chest pain, radiation to the left arm, shortness of breath, diaphoresis - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no ripping/tearing pain) 4. Pulmonary Embolism (less likely, no pleuritic pain or hemoptysis) 5. Musculoskeletal Pain (less likely given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG acquisition and interpretation - Oxygen administration and pain management protocols - Preparation for rapid transport to nearest hospital with cardiac services