Hafnarstræti 22, 600 Akureyri, ground floor, commercial space, former bakery. Single-story concrete building, constructed in 1965. Main entrance is street level, double glass doors. No elevator. Parking available on the street. No security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6825° N, 18.0930° W. Nearest landmark: Hof Cultural and Conference Center.
56-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm and jaw, shortness of breath, diaphoresis. Patient reports feeling lightheaded and nauseous. Secondary symptoms: Anxiety, restlessness. Patient is conscious but distressed. Patient sitting on a chair in the back room of the former bakery. Medical history: Hypertension, hyperlipidemia, family history of heart disease. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily, Aspirin 75mg daily. No known allergies. Last meal was a sandwich at 10:00.
Timeline: 1115 hours: Patient began experiencing mild chest discomfort 1120 hours: Chest pain intensified, radiating to left arm and jaw 1122 hours: Patient became short of breath and diaphoretic 1125 hours: Patient called his brother for help 1128 hours: Brother arrived, called emergency services 1130 hours: Current time, patient still experiencing chest pain, lightheaded and nauseous Prior Events: Patient reports intermittent chest discomfort over the past month, which he attributed to indigestion. No prior cardiac events. Last medical check-up 6 months ago, routine follow-up. Patient is a non-smoker, occasional alcohol use.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - High probability of a cardiac event based on classic symptoms (chest pain, radiation, diaphoresis) - Potential for rapid deterioration and life-threatening complications - Time-sensitive condition requiring prompt medical evaluation and treatment Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely given pain presentation) 4. Pulmonary Embolism (less likely given lack of risk factors) 5. Esophageal Spasm (less likely given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Administration of aspirin and oxygen - Preparation for transport to nearest hospital with cardiac catheterization capabilities