Hafnarstræti 18, 600 Akureyri. Ground floor of a two-story wooden building built in 1920. Main entrance is at street level, no stairs. Secondary entrance at the rear with a small step. Street parking available. Building has basic fire safety equipment. Current conditions: 8°C, overcast, light wind. GPS coordinates: 65.6823° N, 18.0889° W. Nearest landmark: Akureyri Art Museum.
67-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 pale and anxious. Secondary symptoms: Nausea, dizziness. Patient is sitting on a chair in his living room. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 20mg daily, Aspirin 75mg daily. Known allergy to penicillin. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient started experiencing mild chest discomfort 1430 hours: Chest pain intensified, radiating to left arm and jaw 1435 hours: Patient became short of breath and diaphoretic 1440 hours: Patient called his son for help 1442 hours: Son arrived, called emergency services 1445 hours: Current time, patient still sitting, experiencing severe chest pain Prior Events: Patient has a history of stable angina, has not had any recent cardiac events. Last check-up 6 months ago, routine follow-up. Patient lives with his wife, son lives nearby.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction (MI) Justification for F2 Classification: - High probability of acute cardiac event based on chest pain characteristics, radiation, and associated symptoms - Time-sensitive condition requiring rapid medical intervention - Potential for rapid deterioration and life-threatening complications Differential Diagnoses: 1. Myocardial Infarction (high probability) 2. Unstable Angina (likely) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no specific risk factors) 5. Musculoskeletal Chest Pain (less likely, pain severity and associated symptoms do not match) Required Actions: - Dispatch of ground EMS with ALS capabilities - Cardiac monitoring and 12-lead ECG - Oxygen administration and IV access - Administration of aspirin and nitroglycerin if not contraindicated - Preparation for transport to nearest hospital with cardiac catheterization capabilities