Hafnarstræti 18, 600 Akureyri, ground floor. Two-story wooden building constructed in 1930. Main entrance is at street level, no steps. No elevator. Street parking available. Building is equipped with smoke detectors. Current conditions: 7°C, clear skies, good visibility. GPS coordinates: 65.6828° N, 18.0899° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, sweating. Secondary symptoms: Nausea, dizziness. Patient is conscious but anxious. Skin is pale and clammy. Patient is sitting on a chair in his living room. Medical history: Type 2 diabetes, hypertension, hyperlipidemia. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 40mg daily. Known allergy to penicillin. Last meal was lunch at 13:00.
Timeline: 1430 hours: Patient experienced sudden onset of chest pain while watching TV 1432 hours: Pain intensified, patient became short of breath and started sweating 1435 hours: Patient called his son for help 1437 hours: Son arrived and called emergency services 1440 hours: Current time, patient still experiencing severe chest pain Prior Events: Patient has had several episodes of mild chest discomfort in the past month, but no prior medical evaluation. Patient reports feeling unwell for the past few days with increased fatigue. No recent illnesses or injuries. Last medical check-up was 6 months ago, routine follow-up.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Possible Myocardial Infarction Justification for F2 Classification: - High probability of cardiac event based on classic symptoms (chest pain, radiation, diaphoresis) - Patient has multiple risk factors (diabetes, hypertension, hyperlipidemia) - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely given presentation) 4. Pulmonary Embolism (less likely given lack of risk factors) 5. Musculoskeletal Chest Pain (less likely given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - Cardiac monitoring initiation - Oxygen administration if needed - Preparation for transport to nearest hospital with cardiac catheterization lab