Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building, built in 1935. Main entrance faces the street, no security system. Current conditions: 8°C, overcast, light wind. GPS coordinates: 65.6836° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
62-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Patient reports sudden onset of symptoms while at home. Secondary symptoms: Nausea, lightheadedness. Patient is conscious but anxious. Skin is pale and clammy. Patient is sitting on a chair in the living room. Medical history: Hypertension, type 2 diabetes, hyperlipidemia. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient experienced sudden onset of chest pain 1416 hours: Patient reports increasing severity of pain and difficulty breathing 1418 hours: Patient called his son for help 1420 hours: Son arrived, called emergency services 1422 hours: Current time, patient still experiencing chest pain and shortness of breath Prior Events: Patient reports occasional mild chest discomfort in the past few months, attributed to indigestion. Last medical check-up 6 months ago, routine follow-up. Patient is a smoker (20 pack-years), and sedentary lifestyle. No recent illnesses or injuries. Family history of heart disease.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction Justification for F2 Classification: - High probability of life-threatening cardiac event based on presentation - Severe chest pain, radiation to left arm, diaphoresis, shortness of breath - Time-sensitive condition requiring immediate medical intervention Differential Diagnoses: 1. Myocardial Infarction (high probability) 2. Unstable Angina (likely, needs evaluation) 3. Aortic Dissection (less likely, but must be considered) 4. Pulmonary Embolism (less likely, but possible) 5. Gastroesophageal Reflux (less likely given severity and radiation of pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG acquisition and interpretation - Oxygen administration - Preparation for transport to hospital with cardiac catheterization lab