Hafnarstræti 21, 600 Akureyri, Ground floor of a two-story wooden building, built in 1955, with a single main entrance facing the street. No elevator. Limited street parking. Building equipped with basic smoke detectors. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6821° N, 18.0887° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain radiating to the left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious but anxious. Skin pale and clammy. Patient is sitting in a chair in his office. Medical history: Type 2 diabetes, hypertension, hypercholesterolemia. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 40mg daily, Aspirin 75mg daily. Known allergy to Penicillin. Last meal was a light lunch at 12:30.
Timeline: 13:10 hours: Patient began experiencing mild chest discomfort while working at his desk. 13:15 hours: Chest pain intensified, radiating to the left arm and jaw. 13:17 hours: Patient developed shortness of breath and began sweating profusely. 13:18 hours: Patient felt nauseous and dizzy, called his son for help. 13:20 hours: Son arrived, called emergency services. 13:22 hours: Current time, patient is still sitting in his office, experiencing severe chest pain. Prior Events: Patient reports no recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient had a similar episode of mild chest discomfort two weeks ago, which resolved spontaneously. No previous heart attacks or cardiac procedures.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), possibly Myocardial Infarction (MI) Justification for F2 Classification: - High probability of cardiac event based on presenting symptoms - Severe chest pain, radiation, shortness of breath, diaphoresis - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely) 3. Aortic Dissection (less likely, no reported tearing pain) 4. Pulmonary Embolism (less likely, no history of DVT) 5. Esophageal Spasm (less likely, given associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Aspirin administration - Preparation for transport to nearest hospital with cardiac catheterization lab