Hafnarstræti 96, 600 Akureyri, ground floor, retail space. Single-story concrete structure, built in 1985. Main entrance is street-level, no steps. No elevator. Parking available on street. Building has basic fire suppression system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6817° N, 18.0920° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, sweating, nausea. Patient reports feeling lightheaded. Secondary symptoms: Anxiety, pale skin. Patient is conscious and alert, but distressed. Patient sitting on a chair in his store. Medical history: Hypertension, type 2 diabetes, hyperlipidemia. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 40mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1445 hours: Patient began experiencing mild chest discomfort 1450 hours: Chest pain increased in intensity, radiating to left arm 1452 hours: Patient started sweating and feeling nauseous 1455 hours: Patient called his son for help 1457 hours: Son arrived, called emergency services 1459 hours: Current time, patient still sitting, experiencing chest pain Prior Events: Patient has a history of stable angina, but this episode is significantly more severe. Last ECG 6 months ago showed no significant changes. No recent illnesses or injuries. Last medical check-up 2 months ago, routine follow-up. Patient is the owner of the store.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) / Myocardial Infarction Justification for F2 Classification: - High probability of significant cardiac event based on symptoms - Severe chest pain, radiation, diaphoresis, shortness of breath - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely, but potentially progressing to MI) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no specific risk factors) 5. Musculoskeletal Chest Pain (less likely given the severity and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and analysis - Oxygen administration - Aspirin administration - Preparation for transport to nearest hospital with cardiology services