Hafnarstræti 23, 600 Akureyri, first floor of a two-story wooden building. Main entrance faces the street, no elevator. Street parking available. Building is approximately 80 years old. Current conditions: 7°C, clear skies, good visibility. GPS coordinates: 65.6823° N, 18.0914° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing sudden onset chest pain. Primary symptoms: severe, 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: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. Known allergy to penicillin. Last meal was lunch at 13:00.
Timeline: 1430 hours: Patient experienced sudden onset of severe chest pain 1432 hours: Patient became diaphoretic and short of breath 1435 hours: Patient called his son for help 1438 hours: Son arrived and called emergency services 1440 hours: Current time, patient still experiencing chest pain Prior Events: Patient has a history of stable angina, but reports this pain is significantly different and more severe. He had a routine check-up 6 months ago with no significant changes in his condition. No recent illnesses or injuries. Patient was at work when the symptoms began.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Possible Myocardial Infarction Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptoms - Severe chest pain, radiation, diaphoresis, shortness of breath - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely, but cannot be ruled out) 3. Aortic Dissection (less likely, but needs consideration) 4. Pulmonary Embolism (lower probability, but possible) 5. Musculoskeletal Chest Pain (less likely given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration and IV access - Aspirin administration if not contraindicated - Preparation for rapid transport to hospital with cardiac catheterization lab