Hafnarstræti 18, 600 Akureyri, ground floor, commercial building. Single-story brick structure built in 1955. Main entrance has a single door. Street parking available. Building equipped with basic fire extinguishers. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6828° N, 18.0892° 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. Patient reports feeling lightheaded and anxious. Secondary symptoms: Nausea, dizziness. Patient is conscious and alert but appears distressed. Skin pale and clammy. Patient is sitting on a chair in his office. Medical history: Hypertension, type 2 diabetes, hypercholesterolemia. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 40mg daily, Aspirin 75mg daily. Known allergy: Penicillin. Last meal was lunch at 13:00.
Timeline: 1500 hours: Patient started experiencing mild chest discomfort. 1510 hours: Chest pain intensified, radiating to left arm. Onset of shortness of breath and diaphoresis. 1515 hours: Patient called his colleague for help. 1518 hours: Colleague called emergency services. 1520 hours: Current time, patient still in office, experiencing severe chest pain. Prior Events: Patient has a history of stable angina. No recent hospitalizations. Last check-up 6 months ago, routine follow-up. Reports increased stress in the past week. No recent changes in medication.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Possible Myocardial Infarction Justification for F2 Classification: - Severe chest pain with radiation, diaphoresis, and shortness of breath are highly indicative of cardiac event. - Patient has multiple risk factors for cardiovascular disease (hypertension, diabetes, hypercholesterolemia). - Time-sensitive condition requiring prompt medical intervention to prevent further myocardial damage. Differential Diagnoses: 1. Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no recent travel or surgery) 5. Gastroesophageal Reflux (less likely given severity of symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities. - ECG acquisition and interpretation. - Administration of oxygen and aspirin. - Preparation for transport to nearest hospital with cardiac catheterization lab.