Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building. Built in 1950, with a single main entrance facing the street. No elevator. Street parking available. No specific security features. Current conditions: 7°C, overcast, light wind. GPS coordinates: 65.6822° N, 18.0915° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious and anxious. Skin pale and clammy. Patient is sitting on a chair in his living room. 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 13:00.
Timeline: 1410 hours: Patient began experiencing mild chest discomfort. 1415 hours: Chest pain intensified, radiating to the left arm. Patient became short of breath and diaphoretic. 1418 hours: Patient felt nauseous and dizzy. He called his son for help. 1420 hours: Son arrived and called emergency services. 1422 hours: Current time, patient still experiencing severe chest pain, sitting in a chair. Prior Events: Patient reports occasional mild chest discomfort for the past few months, attributed to indigestion. No prior hospitalizations for cardiac issues. Last medical check-up was 6 months ago, routine follow-up. Patient is a retired fisherman.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction Justification for F2 Classification: - High probability of life-threatening cardiac event based on presenting symptoms - Severe chest pain, radiation to left arm, diaphoresis, shortness of breath - Time-sensitive condition requiring rapid medical intervention Differential Diagnoses: 1. Myocardial Infarction (high probability) 2. Unstable Angina (less likely due to severity of pain) 3. Aortic Dissection (less likely, no tearing pain reported) 4. Pulmonary Embolism (less likely, no recent travel or immobilization) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG acquisition - Administration of oxygen and aspirin if not already taken - IV access and pain management - Pre-notification of hospital for possible cardiac intervention