Hafnarstræti 96, 600 Akureyri. Ground floor of a two-story wooden building built in 1952. Main entrance is at street level, no steps. Secondary entrance at the rear, accessible through a narrow alleyway. No elevator. Building is equipped with a basic fire alarm. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6811° N, 18.0897° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious but anxious. Skin is pale and clammy. Patient is sitting on a chair in his office. Medical history: Diagnosed with hypertension 5 years ago, 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 12:30.
Timeline: 1345 hours: Patient experienced sudden onset of chest pain while working at his desk 1346 hours: Pain intensified, patient became short of breath 1347 hours: Patient began sweating profusely and felt nauseous 1348 hours: Patient called his son, who is now calling emergency services 1350 hours: Current time, patient still experiencing chest pain Prior Events: Patient reports occasional mild chest discomfort in the past month, which he attributed to indigestion. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient is generally active, but has been under stress recently due to work.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction Justification for F2 Classification: - High probability of a cardiac event based on classic symptoms (chest pain, radiation, shortness of breath, diaphoresis) - Time-sensitive condition requiring prompt medical intervention - Potential for rapid deterioration and life-threatening complications Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no pleuritic pain) 5. Esophageal Spasm (less likely, pain is severe and radiating) Required Actions: - Dispatch of ground EMS with ALS capabilities - Initiate cardiac monitoring and oxygen administration - Pain management and antiplatelet therapy as per protocol - Preparation for rapid transport to the nearest hospital with cardiology services