Hafnarstræti 98, 600 Akureyri, ground floor of a two-story wooden building built in 1935. Main entrance is on the street level with a small step. No elevator. Street parking available. Building is equipped with a basic fire alarm. Current conditions: 7°C, clear skies, good visibility. GPS coordinates: 65.6822° N, 18.0920° W. Nearest landmark: Hof Cultural and Conference Center.
65-year-old male, experiencing severe chest pain. Primary symptoms: Substernal chest pain described as 'crushing,' radiating to left arm and jaw, shortness of breath, diaphoresis. Patient reports feeling anxious and dizzy. Secondary symptoms: Nausea. Patient alert but distressed. Skin pale and clammy. Patient sitting on a chair in his living room. Medical history: Hypertension diagnosed 5 years ago, hyperlipidemia. Medications: Lisinopril 10mg daily, Atorvastatin 20mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1445 hours: Patient began experiencing mild chest discomfort. 1450 hours: Chest pain intensified, radiating to left arm and jaw. Patient became short of breath and sweaty. 1455 hours: Patient attempted to take antacids, no relief. Patient called his son for help. 1458 hours: Son arrived, called emergency services. 1500 hours: Current time, patient still experiencing severe chest pain, difficulty breathing. Prior Events: Patient reports occasional episodes of mild chest discomfort in the past month, attributed to indigestion. No prior heart attack or cardiac procedures. Last medical check-up 6 months ago, routine follow-up. Patient is a former smoker, quit 10 years ago. Family history of heart disease.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction Justification for F2 Classification: - High probability of cardiac event based on classic ACS symptoms - Severe chest pain, radiation, shortness of breath, diaphoresis - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (less likely given severity of pain) 3. Aortic Dissection (less likely given lack of tearing pain) 4. Pulmonary Embolism (lower probability, no reported risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Administration of oxygen and aspirin - Preparation for transport to nearest hospital with cardiac catheterization lab