Hafnarstræti 23, 600 Akureyri, third floor office suite 3B. A four-story commercial building with a mix of offices and retail spaces, built in 1992. Main entrance is accessible via a ramp and automatic doors. Elevator and central stairwell available. Street parking and a public parking lot nearby. Building has a fire alarm system and security cameras. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6822° N, 18.0914° W. Nearest landmark: Akureyri Art Museum.
55-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain, radiating to the left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious but anxious. Skin pale and clammy. Patient is at his office desk. Medical history: Hypertension, hyperlipidemia, family history of heart disease. Medications: Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 13:15 hours: Patient reports sudden onset of chest pain while working at his desk. 13:16 hours: Pain intensifies, radiating to left arm and jaw, patient becomes diaphoretic. 13:17 hours: Patient calls his colleague for help, who then dials emergency services. 13:20 hours: Current time, patient is still experiencing severe chest pain, shortness of breath. Prior Events: Patient reports experiencing occasional mild chest discomfort over the past few months, attributed to stress. No recent hospitalizations or major illnesses. 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), likely Myocardial Infarction Justification for F2 Classification: - High probability of life-threatening cardiac event based on classic symptoms - Time-sensitive condition requiring rapid intervention to limit myocardial damage - Patient's risk factors and presentation warrant immediate medical assessment Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely, requires immediate assessment) 3. Aortic Dissection (less likely, but must be considered) 4. Pulmonary Embolism (less likely, but possible) 5. Musculoskeletal Chest Pain (less likely given the nature of pain and symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - Initiation of cardiac monitoring and oxygen therapy - Preparation for transport to nearest hospital with cardiac catheterization lab - Early notification of hospital emergency department