Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building built in 1955. Main entrance has a single wooden door with a simple lock. No elevator, stairs lead to the second floor. Street parking available. Building is a former retail space converted to an office. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6823° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
51-year-old male, experiencing sudden onset chest pain. Primary symptoms: Severe, crushing chest pain radiating to the left arm and jaw, shortness of breath, diaphoresis. Patient reports feeling anxious and lightheaded. Secondary symptoms: Nausea, dizziness. Patient is alert and oriented but appears distressed. Skin is pale and clammy. Patient is sitting in a chair in his office. Medical history: Hypertension, hypercholesterolemia. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a sandwich at 13:00.
Timeline: 14:10 hours: Patient experienced sudden onset of chest pain while at his desk. 14:11 hours: Pain intensified, radiating to left arm and jaw, shortness of breath began. 14:12 hours: Patient became diaphoretic and lightheaded, called his colleague for assistance. 14:14 hours: Colleague called emergency services. 14:16 hours: Current time, patient is still experiencing chest pain, awaiting medical assistance. Prior Events: Patient reports no recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient has a family history of heart disease. No recent stressful events reported.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction Justification for F2 Classification: - High probability of cardiac event based on classic symptoms (chest pain, radiation, diaphoresis) - Time-sensitive condition requiring rapid medical intervention to minimize myocardial damage - Patient's age and risk factors increase the likelihood of ACS Differential Diagnoses: 1. Myocardial Infarction (high probability) 2. Unstable Angina (likely given symptoms) 3. Aortic Dissection (less likely, no reported tearing pain) 4. Pulmonary Embolism (less likely, no reported recent travel or immobilization) 5. Musculoskeletal chest pain (less likely, given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Pain management protocols initiation - Preparation for transport to nearest hospital with cardiac catheterization lab