Hafnarstræti 19, 600 Akureyri, ground floor, retail space. One-story commercial building constructed in 1965, renovated in 2010. Main entrance faces Hafnarstræti, no back entrance. Street-level access. No known security features. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6822° N, 18.0902° 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 symptoms while working in his shop. Secondary symptoms: Nausea, dizziness. Patient alert but anxious. Skin pale and clammy. Patient sitting on a chair in the shop. Medical history: Hypertension diagnosed 5 years ago, hypercholesterolemia. Medications: Ramipril 10mg daily, Atorvastatin 20mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1410 hours: Patient began experiencing chest discomfort while lifting a box 1412 hours: Chest pain intensified, radiating to left arm and jaw 1413 hours: Patient became short of breath, diaphoretic, nauseous 1415 hours: Patient called his son for help, son called emergency services 1417 hours: Current time, patient is sitting on a chair, pale and clammy Prior Events: Patient reports occasional mild chest discomfort during exertion in the past month. No prior heart attacks or cardiac procedures. Last medical check-up 6 months ago, routine follow-up. Patient is a shop owner, works long hours. Smokes 10 cigarettes a day.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction Justification for F2 Classification: - High probability of life-threatening cardiac event based on classic symptoms - Severe chest pain, radiation, shortness of breath, diaphoresis - 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 reported tearing pain) 4. Pulmonary Embolism (less likely, no history of DVT or recent surgery) 5. Musculoskeletal Chest Pain (less likely given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration, cardiac monitoring - IV access, pain management protocols initiation - Preparation for transport to nearest hospital with cardiac catheterization lab