Hafnarstræti 18, 600 Akureyri, ground floor, retail space. Single-story commercial building with large display windows. Main entrance faces the street, no rear access. Street parking available. Building is approximately 30 years old, constructed of concrete. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6825° N, 18.0912° W. Nearest landmark: Hof Cultural and Conference Center.
53-year-old male, experiencing sudden onset of severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis. Patient is conscious but anxious. Secondary symptoms: Nausea, dizziness. Patient is sitting on a chair inside the shop. Medical history: Hypertension, hyperlipidemia. Medications: Lisinopril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was lunch at 12:00.
Timeline: 1410 hours: Patient reports sudden onset of chest pain while stocking shelves in his shop. 1412 hours: Patient sits down, experiencing increased pain, shortness of breath, and sweating. 1414 hours: Patient asks coworker to call emergency services. 1416 hours: Current time, patient remains seated, pale and distressed. Prior Events: Patient reports occasional mild chest discomfort in the past, attributed to indigestion. No prior cardiac events or hospitalizations. Last medical check-up 6 months ago, routine follow-up. Smokes 1 pack of cigarettes per day for the past 30 years. Family history of heart disease.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Possible Myocardial Infarction (MI) Justification for F2 Classification: - High probability of cardiac event based on chest pain characteristics, radiation, and associated symptoms - Time-sensitive condition requiring prompt medical evaluation and intervention - Potential for rapid deterioration Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no tearing pain reported) 4. Pulmonary Embolism (less likely, no reported risk factors) 5. Musculoskeletal Chest Pain (less likely given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - ECG monitoring - Pain management protocols initiation - Preparation for transport to nearest hospital with cardiac services