Hafnarstræti 22, 600 Akureyri, second floor, office 203. A three-story concrete building constructed in 1965. Main entrance is on the street level with a single automatic door. There is an elevator and a central stairwell. Street parking available. The building has a fire alarm system and security cameras. Current conditions: 8°C, overcast, moderate visibility. GPS coordinates: 65.6827° N, 18.0888° W. Nearest landmark: Akureyri Art Museum.
52-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Patient reports feeling very anxious and lightheaded. Secondary symptoms: Nausea. Patient is conscious but pale and distressed. Patient is sitting on a chair in his office. Medical history: Hypertension, hyperlipidemia, family history of heart disease. Medications: Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was a light lunch at 12:30.
Timeline: 1345 hours: Patient reports sudden onset of chest pain while working at his desk. 1346 hours: Pain intensifies and radiates to the left arm. Patient becomes diaphoretic and short of breath. 1347 hours: Patient attempts to take a deep breath but pain worsens. 1348 hours: Patient calls his colleague for help. Colleague calls emergency services. 1350 hours: Current time, patient is still in office, sitting in a chair. Prior Events: Patient has had occasional episodes of mild chest discomfort in the past few months, attributed to indigestion. No prior cardiac events. Last medical check-up 6 months ago, routine follow-up. Patient reports increased stress at work recently.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Possible Myocardial Infarction Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptoms and risk factors. - Chest pain radiating to the left arm, shortness of breath, diaphoresis are indicative of ACS. - Time-sensitive condition requiring prompt medical evaluation and intervention. Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely, requires evaluation) 3. Aortic Dissection (less likely given no tearing pain) 4. Pulmonary Embolism (less likely given no pleuritic pain or sudden onset) 5. Musculoskeletal Chest Pain (less likely given severity and radiation of pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG monitoring and interpretation - Oxygen administration and pain management - Preparation for transport to nearest hospital with cardiac catheterization capabilities