Hafnarstræti 18, 600 Akureyri. First floor of a two-story wooden building built in 1950. Main entrance on the street level. No elevator, one internal staircase. Street parking available. Building has a basic fire alarm system. Current conditions: 7°C, cloudy, moderate visibility. GPS coordinates: 65.6824° N, 18.0916° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: crushing chest pain radiating to left arm, 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 living room. Medical history: Type 2 diabetes, hypertension, hyperlipidemia. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 40mg daily, Aspirin 75mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 15:10 hours: Patient started experiencing mild chest discomfort 15:15 hours: Chest pain became severe, radiating to left arm 15:17 hours: Patient started feeling short of breath and diaphoretic 15:20 hours: Patient called emergency services 15:22 hours: Current time, patient still experiencing severe chest pain Prior Events: Patient reports history of angina, has had mild episodes of chest pain in the past but none this severe. Last medical check-up was 6 months ago, routine follow-up. Patient lives alone, family lives nearby.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - possible myocardial infarction (MI) Justification for F2 Classification: - High probability of serious cardiac event based on symptoms - Severe chest pain, radiation to left arm, diaphoresis - Time-sensitive condition requiring rapid intervention to prevent further myocardial damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no tearing pain reported) 4. Pulmonary Embolism (less likely, no pleuritic pain or hemoptysis) 5. Pericarditis (less likely, no positional pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG acquisition and interpretation - Oxygen administration and cardiac monitoring - Aspirin administration if not contraindicated - Preparation for transport to nearest hospital with cardiac catheterization lab