Hafnarstræti 18, 600 Akureyri, ground floor of the main building, near the entrance. Two-story building with a mix of commercial and residential spaces. Built in 1965, concrete structure. Street-level entrance, no steps. No security system. Current conditions: 7°C, overcast, good visibility, dry road conditions. GPS coordinates: 65.6833° N, 18.0925° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient alert but anxious. Skin pale and clammy. Patient is sitting on a chair in the reception area. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient felt sudden onset of chest pain while walking to his car 1432 hours: Pain intensified, patient became short of breath and started sweating 1435 hours: Patient entered the building and asked for help at reception 1437 hours: Receptionist called emergency services 1438 hours: Current time, patient still experiencing chest pain, sitting in a chair Prior Events: Patient reports occasional mild chest discomfort in the past, attributed to indigestion. No prior cardiac events. Last medical check-up 6 months ago, routine follow-up. Patient is a non-smoker and reports moderate alcohol consumption on weekends.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - High probability of cardiac event based on chest pain characteristics and risk factors - Time-sensitive condition requiring prompt medical intervention - Potential for rapid deterioration Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no recent surgery or immobilization) 5. Musculoskeletal Chest Pain (less likely given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Preparation for transport to nearest hospital with cardiac catheterization lab - Early hospital notification