Hafnarstræti 18, 600 Akureyri, ground floor, apartment 102. Three-story mixed-use building, concrete construction, built in 1965. Main entrance with a coded lock (code 1973). Street-level access, no steps. No elevator. Current conditions: 8°C, overcast, light breeze. GPS coordinates: 65.6834° N, 18.0896° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain, radiating to the left arm and jaw, shortness of breath, diaphoresis. Patient is pale, anxious, and clutching his chest. Medical history: Hypertension, type 2 diabetes, hypercholesterolemia. Medications: Metformin 1000mg twice daily, Atorvastatin 40mg daily, Lisinopril 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1410 hours: Patient started experiencing mild chest discomfort while watching TV 1415 hours: Chest pain intensified, radiating to left arm and jaw, patient became diaphoretic 1418 hours: Patient called his son, who is now calling emergency services 1420 hours: Current time, patient sitting on the couch, pale, clutching chest, and struggling to breathe Prior Events: Patient has a history of stable angina but reports this pain is much more severe and different. No recent hospitalizations. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, but his son lives nearby.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Possible Myocardial Infarction Justification for F2 Classification: - High probability of cardiac event based on symptoms: severe chest pain, radiation, diaphoresis, dyspnea - Patient has risk factors: hypertension, diabetes, hypercholesterolemia - Time-sensitive condition requiring rapid assessment and treatment Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely) 3. Aortic Dissection (less likely, no tearing pain reported) 4. Pulmonary Embolism (less likely, no recent travel or prolonged immobility) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and cardiac monitoring - IV access and aspirin administration - Preparation for transport to nearest hospital with cardiac catheterization lab