Hafnarstræti 21, 600 Akureyri, ground floor, retail space. One-story commercial building constructed in 1965, renovated in 2010. Main entrance at street level, no steps. No elevator. Street parking available. Building has large storefront windows. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6821° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
62-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Patient reports feeling 'heavy' in the chest. Secondary symptoms: Nausea, dizziness. Patient is conscious but appears distressed. Skin pale and clammy. Patient is sitting on a chair in the back office of his shop. Medical history: Hypertension, hyperlipidemia, smoker (20 pack-years). Medications: Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 14:15 hours: Patient started feeling mild chest discomfort 14:20 hours: Chest pain intensified, radiating to left arm, onset of shortness of breath 14:22 hours: Patient became diaphoretic, nausea started 14:25 hours: Patient called emergency services 14:27 hours: Current time, patient is sitting, still experiencing severe chest pain Prior Events: Patient reports occasional mild chest discomfort over the past few weeks, attributed to indigestion. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient has a family history of heart disease.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction (MI) Justification for F2 Classification: - Severe chest pain with radiation, shortness of breath, diaphoresis, and associated symptoms - High risk factors including age, smoking history, hypertension, and hyperlipidemia - Time-sensitive condition requiring prompt medical evaluation and 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 recent surgery or immobilization) 5. Musculoskeletal Chest Pain (less likely given severity and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG acquisition and transmission - Oxygen administration - Aspirin administration - Preparation for rapid transport to nearest hospital with cardiac services