Hafnarstræti 18, 600 Akureyri. Ground floor of a two-story commercial building. Main entrance faces Hafnarstræti, with a secondary entrance at the rear. The building was constructed in 1960s, made of concrete. No known security features. Weather conditions: 8°C, overcast, light wind. GPS coordinates: 65.6821° N, 18.0901° W. Nearest landmark: The Cultural Center Hof.
51-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious but appears distressed. Medical history: Hypertension, hyperlipidemia, family history of heart disease. Medications: Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 1410 hours: Patient began experiencing mild chest discomfort while walking. 1415 hours: Chest pain intensified, radiating to left arm. Patient became diaphoretic and short of breath. 1418 hours: Patient sat down and called his wife, who then called emergency services. 1420 hours: Current time, patient is sitting on a chair, clutching his chest, breathing heavily. Prior Events: Patient reports occasional mild chest discomfort over the past month, attributed to indigestion. No prior cardiac events. Last medical check-up 6 months ago, routine follow-up. Patient is a non-smoker but reports a stressful job.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Likely Myocardial Infarction Justification for F2 Classification: - Classic presentation of ACS with severe chest pain, radiation, diaphoresis, and shortness of breath - High risk of serious cardiovascular event, requiring rapid intervention - Time-sensitive condition requiring prompt medical evaluation and treatment Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no reported tearing pain) 4. Pulmonary Embolism (less likely, no reported pleuritic pain) 5. Musculoskeletal Chest Pain (less likely given severity and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate administration of oxygen - Cardiac monitoring and ECG acquisition - Preparation for rapid transport to hospital with cardiac catheterization facilities