Hafnarstræti 18, 600 Akureyri. Ground floor of a two-story wooden building, built in 1955, with a single main entrance facing the street. No elevator. Street parking available. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6811° N, 18.0889° 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, nausea. Secondary symptoms: Mild dizziness. Patient is conscious but appears anxious. Skin is pale and clammy. Patient is sitting on a chair in his office. Medical history: Type 2 diabetes, hypertension, hyperlipidemia. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 14:10 hours: Patient reports sudden onset of severe chest pain while working at his desk. 14:12 hours: Patient reports increasing pain, shortness of breath, and sweating. 14:14 hours: Patient called his son for help, who is now calling emergency services. 14:16 hours: Current time, patient is still experiencing chest pain, sitting in his office chair. Prior Events: Patient reports occasional mild chest discomfort over the past few months, attributed to indigestion. No prior cardiac events. Last medical check-up 6 months ago, routine follow-up. Patient is a non-smoker, occasional alcohol consumption.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptoms - Chest pain radiating to left arm and jaw, shortness of breath, diaphoresis - Time-sensitive condition requiring rapid medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely differential) 3. Aortic Dissection (less likely, no reported tearing pain) 4. Pulmonary Embolism (less likely, no risk factors or sudden onset of symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG acquisition - Oxygen administration - Aspirin administration - Preparation for transport to nearest hospital with cardiac catheterization lab