Hafnarstræti 19, 600 Akureyri, ground floor of a commercial building, former retail space now used as a small office. Single-story concrete structure built in 1965, with large display windows facing the street. Main entrance via a single door directly from the sidewalk. No elevator, one main entrance/exit. Street parking available. Building equipped with basic fire extinguishers. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6812° N, 18.0935° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain at work. Primary symptoms: Crushing chest pain, radiating to the left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is pale and anxious. Patient is sitting in a chair in his office. Medical history: Hypertension, hyperlipidemia, family history of heart disease. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily, Aspirin 75mg 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 and jaw, patient became diaphoretic. 1352 hours: Patient sat down, feeling short of breath and nauseous. 1355 hours: Patient called his son for help. 1357 hours: Son arrived, called emergency services. 1400 hours: Current time, patient still in chair, pale and distressed. Prior Events: Patient has had no prior cardiac events, but has been experiencing increasing stress at work recently. Last medical check-up 6 months ago, routine follow-up. Patient is a smoker (1 pack per day for 40 years). No recent illnesses or injuries.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - High probability of a cardiac event based on symptoms and risk factors - Severe chest pain, radiating to left arm and jaw, shortness of breath, diaphoresis - Time-sensitive condition requiring prompt medical evaluation and intervention 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. Musculoskeletal Chest Pain (less likely given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and analysis - Oxygen administration if needed - Administration of aspirin if not already taken - Preparation for transport to nearest hospital with cardiac catheterization lab