Hafnarstræti 18, 600 Akureyri, ground floor of a two-story commercial building. Constructed in 1960, brick and concrete structure. Main entrance on Hafnarstræti with a secondary entrance on the side street. No elevator. Street parking available. Building equipped with basic fire extinguishers. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6828° N, 18.0909° W. Nearest landmark: Hof Cultural and Conference Center.
68-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Patient reports feeling of impending doom. Secondary symptoms: Nausea, dizziness. Patient is conscious but anxious. Skin pale and clammy. Patient is sitting on a chair in his office. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 12:30.
Timeline: 1345 hours: Patient started experiencing mild chest discomfort while working at his desk. 1350 hours: Chest pain increased in severity, radiating to left arm, accompanied by shortness of breath. 1352 hours: Patient started feeling dizzy and nauseous. 1355 hours: Patient called his son for help, who is now calling emergency services. 1357 hours: Current time, patient is sitting in his office, pale and sweating. Prior Events: Patient reports occasional chest discomfort over the past few months, which he attributed to indigestion. No prior cardiac events. Last medical check-up 6 months ago, routine follow-up. Patient has a history of smoking (1 pack per day for 40 years, quit 5 years ago).
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptoms and history - Severe chest pain, radiating to left arm, shortness of breath, diaphoresis - Time-sensitive condition requiring immediate medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (less likely given severity of symptoms) 3. Aortic Dissection (less likely given no back pain) 4. Pulmonary Embolism (less likely given no pleuritic pain or hemoptysis) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and analysis - Oxygen administration - Aspirin administration (if not already taken) - Preparation for transport to nearest hospital with cardiac catheterization capabilities