Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building built in 1930. Main entrance on the street level, no stairs. Building has a small parking lot in the back, accessible via a narrow alley. No security features. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 65.6835° N, 18.0924° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis. Patient is pale and anxious. Patient sitting on a chair in his office. Secondary symptoms: Nausea, dizziness. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. Known allergy: Sulfa drugs. Last meal was a sandwich at 12:00.
Timeline: 1415 hours: Patient started experiencing mild chest discomfort 1420 hours: Chest pain became severe, radiating to left arm and jaw 1422 hours: Patient started sweating and feeling short of breath 1425 hours: Patient called emergency services 1427 hours: Current time, patient still experiencing severe chest pain Prior Events: Patient has a history of hypertension, hyperlipidemia, and type 2 diabetes. 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 prior cardiac events.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptoms - Severe chest pain, radiation, diaphoresis, shortness of breath - Time-sensitive condition requiring rapid medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely, requires further assessment) 3. Aortic Dissection (less likely, but must be considered) 4. Pulmonary Embolism (less likely, but possible) 5. Musculoskeletal Chest Pain (less likely given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Administration of oxygen and aspirin (if not contraindicated) - Preparation for transport to nearest hospital with cardiac catheterization lab