Hafnarstræti 18, 600 Akureyri, ground floor of the building. Two-story wooden building built in 1935. Main entrance is accessible directly from the street. No elevator. Street parking available. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6819° N, 18.0899° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing sudden onset of severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Patient reports feeling lightheaded and nauseous. Patient is conscious but anxious. Skin is pale and clammy. Patient is sitting on a chair in his office. Medical history: Hypertension, hyperlipidemia, Type 2 Diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient began experiencing mild chest discomfort. 1445 hours: Chest pain intensified, radiating to left arm. Patient became short of breath. 1448 hours: Patient experienced diaphoresis, nausea, and lightheadedness. 1450 hours: Patient called emergency services. 1452 hours: Current time, patient remains in office, experiencing ongoing symptoms. Prior Events: Patient reports a history of intermittent mild chest discomfort for the past few months, which he attributed to indigestion. No prior cardiac events. Last medical check-up 6 months ago, routine follow-up. Patient has a sedentary lifestyle and is a smoker.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptoms (severe chest pain, radiation, shortness of breath, diaphoresis) - Time-sensitive condition requiring rapid medical intervention - Patient at risk of hemodynamic instability and cardiac arrest Differential Diagnoses: 1. Myocardial Infarction (high probability) 2. Unstable Angina (less likely given severity and duration of symptoms) 3. Aortic Dissection (lower probability, no reported tearing pain) 4. Pulmonary Embolism (lower probability, no reported pleuritic pain or hemoptysis) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG acquisition and interpretation - Oxygen administration - Aspirin administration - Preparation for transport to nearest hospital with cardiac catheterization capabilities