Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. A five-story reinforced concrete building constructed in 1990. Main entrance is secured by an intercom system. There is one elevator and a central staircase. Limited street parking available. The building has a fire suppression system. Current conditions: 7°C, overcast, light wind. GPS coordinates: 65.6821° N, 18.0912° W. Nearest landmark: Hof Cultural and Conference Center.
65-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain radiating to the left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious but appears anxious. Skin is pale and clammy. Patient sitting on a chair in his living room. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1400 hours: Patient experienced a sudden onset of severe chest pain 1402 hours: Pain intensified, radiating to left arm and jaw, shortness of breath 1405 hours: Patient became diaphoretic, felt nauseous and dizzy 1407 hours: Patient called his son for help, who then called emergency services 1410 hours: Current time, patient still experiencing severe chest pain Prior Events: Patient has a history of stable angina, but this pain is different and more severe. Last medical check-up 6 months ago, routine follow-up. Patient has not experienced similar symptoms before.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - High probability of life-threatening cardiac event based on symptoms and medical history - Severe chest pain, radiating pain, shortness of breath, diaphoresis - Time-sensitive condition requiring prompt medical intervention to limit myocardial damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no sudden onset of dyspnea without chest pain) 5. Gastroesophageal Reflux (less likely, symptoms are atypical) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Aspirin administration - Preparation for transport to nearest hospital with cardiac catheterization lab