Hafnarstræti 21, 600 Akureyri, ground floor of a two-story wooden building. Main entrance is accessible directly from the street. Building is approximately 80 years old. No elevator. Street parking available. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6810° N, 18.0885° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain radiating to left arm and jaw, shortness of breath, sweating. Patient reports feeling lightheaded and nauseous. Patient is conscious but appears pale and distressed. 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: 1445 hours: Patient began experiencing chest discomfort while watching television. 1450 hours: Chest pain intensified, radiating to left arm and jaw. Patient became diaphoretic and short of breath. 1452 hours: Patient called his son for help. 1455 hours: Son arrived, called emergency services. 1457 hours: Current time, patient is sitting on a chair in his living room, still experiencing severe chest pain. Prior Events: Patient reports occasional mild chest discomfort in the past, attributed to indigestion. No prior hospitalizations for cardiac issues. Last medical check-up 6 months ago, routine follow-up.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction (MI) Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptom presentation - Severe chest pain with radiation, shortness of breath, diaphoresis - Time-sensitive condition requiring immediate medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no reported tearing pain) 4. Pulmonary Embolism (less likely, no specific risk factors reported) 5. Esophageal Spasm (less likely given severity and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - Initiate cardiac monitoring and 12-lead ECG - Administer oxygen and aspirin if not contraindicated - Establish IV access - Prepare for transport to nearest hospital with cardiac catheterization lab