Hafnarstræti 7, 600 Akureyri, first floor, office 103. Three-story commercial building constructed in 1995. Main entrance has a glass door with a keypad. No elevator. Central staircase. Street parking available. Building equipped with basic fire safety systems. Current conditions: 7°C, cloudy, good visibility. GPS coordinates: 65.6824° N, 18.0916° 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, diaphoresis, nausea. Patient reports sudden onset of symptoms while at work. Secondary symptoms: Mild dizziness. Patient is pale, anxious, and sitting upright. Medical history: Hypertension, hyperlipidemia, family history of heart disease. Medications: Lisinopril 10mg daily, Atorvastatin 20mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1310 hours: Patient reports sudden onset of chest pain while working at his desk. 1312 hours: Patient experiences increasing shortness of breath and diaphoresis. 1313 hours: Patient notifies coworker, who calls emergency services. 1315 hours: Current time, patient is still sitting at his desk, pale, and anxious. Prior Events: Patient reports occasional mild chest discomfort in the past few months, which he attributed to indigestion. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient is a smoker (1 pack/day for 40 years).
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction Justification for F2 Classification: - High probability of a cardiac event based on symptoms and risk factors - Severe chest pain, radiating to the left arm, diaphoresis, shortness of breath - 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 no reported tearing pain) 4. Pulmonary Embolism (less likely given no reported pleuritic pain) 5. Musculoskeletal Chest Pain (less likely given the nature of pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen therapy and pain management - Preparation for rapid transport to nearest hospital with cardiac catheterization lab