Hafnarstræti 19, 600 Akureyri, ground floor of a two-story commercial building. Building constructed in 1965, with a main entrance on Hafnarstræti. No elevator. No security system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6810° N, 18.0918° W. Nearest landmark: Akureyri Art Museum.
55-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Patient reports sudden onset of symptoms. Secondary symptoms: Nausea, dizziness. Patient is conscious but anxious. Skin pale and clammy. Patient is sitting on a chair in the office. Medical history: Hypertension, hypercholesterolemia, family history of heart disease. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1345 hours: Patient began experiencing mild chest discomfort. 1350 hours: Chest pain intensified, radiating to left arm, patient became diaphoretic. 1352 hours: Patient reports shortness of breath and nausea. 1355 hours: Patient called emergency services. 1357 hours: Current time, patient still experiencing severe chest pain. Prior Events: Patient reports occasional mild chest discomfort over the past month, attributed to indigestion. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient works as an accountant.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - High probability of a serious cardiac event based on classic symptoms - Patient experiencing severe chest pain, shortness of breath, and diaphoresis - Time-sensitive condition requiring prompt medical intervention to prevent myocardial damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely) 3. Aortic Dissection (less likely given presentation) 4. Pulmonary Embolism (less likely given presentation) 5. Esophageal Spasm (less likely given severity and radiation of pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Initiation of cardiac monitoring and oxygen therapy - Administration of aspirin if no contraindications - Preparation for transport to nearest hospital with cardiac catheterization capabilities