Hafnarstræti 18, 600 Akureyri, ground floor, commercial space converted into a small office. Single-story building, built in 1960, concrete construction. Main entrance faces Hafnarstræti. No elevator, two small steps at the entrance. Street parking available. Building has basic security with a standard lock. Current conditions: 8°C, overcast, moderate wind. GPS coordinates: 65.6828° N, 18.0908° W. Nearest landmark: Akureyri Art Museum.
56-year-old male, experiencing sudden onset chest pain. Primary symptoms: severe, crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is pale and anxious. Patient is sitting in an office chair. Medical history: Hypertension, hyperlipidemia. Medications: Amlodipine 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1310 hours: Patient experienced sudden onset of chest pain while working at his desk. 1312 hours: Pain intensified and radiated to his left arm. Patient started feeling short of breath. 1313 hours: Patient became diaphoretic and felt nauseous. 1315 hours: Patient called emergency services. 1317 hours: Current time, patient is still experiencing chest pain, shortness of breath, and nausea. Prior Events: Patient reports no recent illnesses or injuries. He had a routine check-up six months ago, with no significant findings except for elevated cholesterol levels. No prior history of chest pain or cardiac issues. Patient reports high stress levels at work recently.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - High probability of a cardiac event based on classic presentation of chest pain, radiation, shortness of breath, and diaphoresis. - Time-sensitive condition requiring rapid assessment, ECG, and potential interventions. - Patient's risk factors (hypertension, hyperlipidemia) increase suspicion of ACS. Differential Diagnoses: 1. Acute Myocardial Infarction (AMI) (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely given pain description) 4. Pulmonary Embolism (less likely given lack of risk factors) 5. Musculoskeletal Chest Pain (less likely given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG acquisition and interpretation - Oxygen administration if required - Aspirin administration if no contraindications - Preparation for transport to nearest hospital with cardiac services