Hafnarstræti 96, 600 Akureyri, ground floor of a commercial building. Two-story concrete building constructed in 1968. Main entrance at street level, no stairs. Street parking available. Building has a small ramp at the entrance. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6824° N, 18.0916° W. Nearest landmark: Akureyri Art Museum.
62-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain, radiating to the left arm and jaw, shortness of breath, diaphoresis. Patient is conscious and alert but anxious. Skin is pale and clammy. Patient is sitting in a chair in his office. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 20mg daily. No known allergies. Last meal was lunch at 12:00, a sandwich and a cup of coffee.
Timeline: 14:10 hours: Patient started experiencing mild chest discomfort 14:15 hours: Chest pain intensified, radiating to left arm and jaw 14:18 hours: Patient became short of breath and started sweating 14:20 hours: Patient called emergency services 14:22 hours: Current time, patient still in office, experiencing severe chest pain Prior Events: Patient reports occasional mild chest discomfort in the past month, attributed to indigestion. No prior heart attacks or cardiac procedures. Last medical check-up 6 months ago, routine follow-up. Patient is a non-smoker, but has a family history of heart disease.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction Justification for F2 Classification: - High probability of a serious cardiac event based on classic symptoms - Chest pain, radiation, shortness of breath, diaphoresis - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely, but less severe than MI) 3. Aortic Dissection (less likely given lack of tearing pain) 4. Pulmonary Embolism (less likely given lack of sudden onset) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Aspirin administration (if not contraindicated) - IV access establishment - Preparation for transport to nearest hospital with cardiac catheterization capabilities