Hafnarstræti 98, 600 Akureyri, ground floor of a two-story wooden building, built in 1935, main entrance on the street, no security system, parking available on the street. Weather: 7°C, overcast, light breeze. GPS coordinates: 65.6821° N, 18.0902° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm and jaw, shortness of breath, diaphoresis. Patient reports feeling lightheaded. Patient is conscious but anxious. Skin is pale and clammy. Medical history: Hypertension, hyperlipidemia, previous MI 5 years ago. Medications: Aspirin 75mg daily, Atorvastatin 20mg daily, Lisinopril 10mg daily, Metoprolol 50mg twice daily. Known allergy to Penicillin. Last meal was a sandwich at 11:00.
Timeline: 1215 hours: Patient began experiencing mild chest discomfort. 1220 hours: Chest pain intensified, radiating to the left arm and jaw. Patient became short of breath. 1222 hours: Patient started sweating profusely and feeling lightheaded. 1225 hours: Patient called emergency services. 1227 hours: Current time, patient is sitting on a chair in his living room, in severe pain. Prior Events: Patient reports a similar but less severe episode 3 months ago, which resolved spontaneously. Last cardiac check-up 6 months ago, routine follow-up. Patient is a former smoker, quit 10 years ago. No recent illnesses or injuries.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), most likely Myocardial Infarction (MI) Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptoms and history. - Severe chest pain, radiation, shortness of breath, diaphoresis, and prior MI. - Time-sensitive condition requiring prompt medical intervention to minimize myocardial damage. Differential Diagnoses: 1. Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no tearing pain reported) 4. Pulmonary Embolism (less likely, no pleuritic chest pain) Required Actions: - Dispatch of ground EMS with ALS capabilities. - ECG monitoring. - Administration of oxygen and aspirin (if not already taken). - Rapid transport to the nearest hospital with cardiac catheterization capabilities.