Hafnarstræti 23, 600 Akureyri, ground floor of a two-story commercial building. Main entrance faces the street, accessible via a single door. Building is of concrete construction, built in 1965. No elevator. Parking available on the street. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6834° N, 18.0922° W. Nearest landmark: Hof Cultural and Conference Center.
62-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis. Patient reports sudden onset of pain while at work. Secondary symptoms: Nausea, dizziness. Patient is pale and anxious. Medical history: Hypertension, type 2 diabetes, hypercholesterolemia. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1310 hours: Patient reports onset of chest pain while working at his office desk 1312 hours: Pain becomes severe, radiating to left arm and jaw. Patient reports shortness of breath 1314 hours: Patient calls his coworker for help 1316 hours: Coworker calls emergency services 1317 hours: Current time, patient is sitting in a chair, pale and diaphoretic Prior Events: Patient reports occasional mild chest discomfort in the past, but never this severe. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient has a history of smoking, quit 5 years ago.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - High probability of cardiac event based on symptoms and risk factors - Severe chest pain, radiation, diaphoresis, and shortness of breath - Time-sensitive condition requiring rapid medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no specific risk factors) 5. Esophageal Spasm (less likely, pain pattern atypical) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG monitoring and interpretation - Oxygen administration - Aspirin administration if not contraindicated - Preparation for rapid transport to nearest hospital with cardiac catheterization capabilities