Hafnarstræti 23, 600 Akureyri, ground floor of a two-story wooden building. Built in 1950. Main entrance faces the street, no security features. Parking on street. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6827° N, 18.0921° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing sudden onset chest pain. Primary symptoms: Severe, crushing chest pain radiating to the left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is pale, anxious, and diaphoretic. Patient is sitting on a chair in his living room. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 40mg daily, Lisinopril 20mg daily. Allergies: None known. Last meal was lunch at 12:00.
Timeline: 1430 hours: Patient began experiencing chest discomfort while watching TV 1435 hours: Pain intensified, radiating to left arm and jaw, patient became diaphoretic and short of breath 1440 hours: Patient called his son for help 1445 hours: Son arrived and called emergency services 1447 hours: Current time, patient is still experiencing chest pain, sitting on a chair in his living room. Prior Events: Patient reports occasional mild chest discomfort in the past, but no prior episodes of this severity. Last medical check-up 6 months ago, routine follow-up. Patient has a history of smoking (quit 10 years ago), family history of heart disease.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction (MI) Justification for F2 Classification: - Severe chest pain with typical radiating pattern, associated with shortness of breath and diaphoresis - Risk factors include age, hypertension, hyperlipidemia, diabetes, and smoking history - Time-sensitive condition requiring immediate medical evaluation and treatment to limit myocardial damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, but must be considered) 4. Pulmonary Embolism (less likely, but must be considered) 5. Pericarditis (less likely given presentation) Required Actions: - Dispatch of ground EMS with ALS capabilities - Initiate cardiac monitoring and oxygen administration - Administer aspirin if not contraindicated - Preparation for transport to nearest hospital with cardiac catheterization capabilities