Hafnarstræti 18, 600 Akureyri, ground floor, entrance to the right of the main store front. Two-story building with a mix of commercial and residential spaces, constructed in 1965. The main entrance is accessible via a single door. No known security features. Street parking available. Current conditions: 8°C, cloudy, light breeze. GPS coordinates: 65.6827° N, 18.0903° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm, shortness of breath, diaphoresis, nausea. Patient reports sudden onset of symptoms. Secondary symptoms: Anxiety, dizziness. Patient is conscious and alert but appears distressed. Skin is pale and clammy. Patient is sitting in a chair in his office. Medical history: Diagnosed with hypertension and hypercholesterolemia. Medications: Lisinopril 10mg daily, Atorvastatin 20mg daily, Aspirin 75mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1315 hours: Patient reports sudden onset of chest pain while at his desk 1316 hours: Pain intensifies, radiates to left arm, patient becomes short of breath 1317 hours: Patient experiences diaphoresis and nausea 1318 hours: Patient calls emergency services 1320 hours: Current time, patient remains in severe pain, awaiting assistance Prior Events: Patient reports no prior episodes of chest pain. Last routine check-up 6 months ago showed elevated cholesterol levels. Patient has been under increased stress due to work deadlines. No recent illnesses or injuries.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction Justification for F2 Classification: - High probability of a serious cardiac event based on presenting symptoms - Severe chest pain, radiation, shortness of breath, diaphoresis, and nausea are classic signs of ACS - Time-sensitive condition requiring prompt medical intervention to minimize cardiac damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (less likely due to severity of symptoms) 3. Aortic Dissection (lower probability, no reported tearing pain) 4. Pulmonary Embolism (less likely, no risk factors reported) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Administration of oxygen and aspirin - Preparation for transport to nearest hospital with cardiac catheterization capabilities