Hafnarstræti 18, 600 Akureyri, ground floor of a two-story commercial building, converted into a small office space. The building is of brick construction, built in 1960s. Main entrance faces Hafnarstræti, with a secondary entrance at the rear through a small alley. No elevator available, a small staircase leads to the second floor. Street parking available. No security system, access is straightforward. Current conditions: 7°C, overcast, light wind. GPS coordinates: 65.6828° N, 18.0909° W. Nearest landmark: Akureyri Art Museum.
62-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Patient reports feeling lightheaded and nauseous. Secondary symptoms: Palpitations. Patient is conscious but anxious. Skin is pale and clammy. Patient is sitting in his office chair. Medical history: Hypertension, hyperlipidemia, previous smoker (quit 5 years ago). Medications: Amlodipine 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a sandwich around 12:00.
Timeline: 1400 hours: Patient was working at his desk when chest pain began suddenly. 1402 hours: Pain intensified, radiating to left arm, shortness of breath began. 1403 hours: Patient started feeling lightheaded and nauseous, broke into a sweat. 1405 hours: Patient called his colleague for help, who then called emergency services. 1407 hours: Current time, patient is still sitting in his chair, pale and sweating. Prior Events: Patient reports no recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient has a family history of heart disease. No recent changes in medication.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - Classic presentation of ACS with severe chest pain, radiation, shortness of breath, diaphoresis - Potential for life-threatening complications (e.g., myocardial infarction, arrhythmia) - Time-sensitive condition requiring rapid medical evaluation and intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely) 3. Aortic Dissection (less likely, but must be considered) 4. Pulmonary Embolism (less likely, no specific risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG acquisition and interpretation - Oxygen administration - Aspirin administration - Preparation for transport to nearest hospital with cardiac catheterization lab