Hafnarstræti 18, 600 Akureyri, ground floor, shop entrance. One-story commercial building constructed in 1965. Main entrance is street-level, no steps. No elevators. Street parking available. Building has large glass windows facing the street. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6822° N, 18.0886° W. Nearest landmark: Akureyri Art Museum.
52-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain, radiating to left arm and jaw, shortness of breath, sweating. Patient reports feeling 'lightheaded'. Secondary symptoms: Nausea, pale skin. Patient is conscious but appears distressed. Medical history: Hypertension, hyperlipidemia. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a sandwich at 12:00. Patient was working in his shop when symptoms started.
Timeline: 13:30 hours: Patient reports onset of chest pain, initially mild 13:35 hours: Chest pain intensifies, radiates to left arm and jaw 13:37 hours: Patient becomes short of breath, starts sweating 13:38 hours: Patient calls emergency services 13:40 hours: Current time, patient is still in the shop, sitting on a chair, awaiting help Prior Events: Patient reports no prior episodes of chest pain. Last medical check-up 6 months ago, routine follow-up. Patient is generally healthy, but has been under some stress recently due to work. No recent illnesses or injuries.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - possible Myocardial Infarction Justification for F2 Classification: - High probability of a cardiac event based on symptoms (chest pain, radiation, diaphoresis, dyspnea) - Patient has risk factors for ACS (hypertension, hyperlipidemia) - Time-sensitive condition requiring rapid medical intervention to limit myocardial damage Differential Diagnoses: 1. Myocardial Infarction (high probability) 2. Unstable Angina (likely) 3. Aortic Dissection (less likely given presentation) 4. Pulmonary Embolism (less likely given no reported risk factors) 5. Musculoskeletal Chest Pain (less likely given severity and radiation of pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Initiate cardiac monitoring and ECG - Oxygen administration if needed - Preparation for transport to nearest hospital with cardiac catheterization lab