Hafnarstræti 18, 600 Akureyri, third floor, apartment 3B. A five-story concrete building constructed in 1990. Main entrance with intercom system. One elevator and a central staircase. Street parking available. The building is equipped with a fire alarm system. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6825° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
62-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious and alert, but anxious. Skin is pale and clammy. Patient is sitting on a chair in his living room. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient began experiencing mild chest discomfort 1430 hours: Chest pain intensified, radiating to left arm, shortness of breath developed 1435 hours: Patient became diaphoretic and nauseous 1440 hours: Patient called his son for help 1442 hours: Son arrived, called emergency services 1445 hours: Current time, patient still experiencing severe chest pain Prior Events: Patient has a history of stable angina, but reports this pain is much more severe. No recent changes in medication. Last medical check-up was 6 months ago, routine follow-up. Patient lives alone, but his son lives nearby.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction Justification for F2 Classification: - High probability of life-threatening cardiac event based on symptoms and risk factors - Severe chest pain, radiating to the left arm, shortness of breath, diaphoresis - Time-sensitive condition requiring rapid medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (less likely given severity of symptoms) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (lower probability, no pleuritic pain) 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 - Aspirin administration - Preparation for transport to nearest hospital with cardiac catheterization lab