Hafnarstræti 19, 600 Akureyri, ground floor. A two-story wooden building built in 1955, with a small shop on the ground floor and residential above. Main entrance at street level, no elevator. Street parking available. Building has basic fire safety equipment. Current conditions: 7°C, clear skies, good visibility. GPS coordinates: 65.6822° N, 18.0892° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Patient is conscious and anxious. Secondary symptoms: Nausea, dizziness. Patient sitting in a chair in his shop. Medical history: Hypertension, hypercholesterolemia, history of smoking. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient started experiencing mild chest discomfort while working in his shop 1440 hours: Chest pain intensified, radiating to the left arm. Patient became diaphoretic and short of breath 1445 hours: Patient sat down, feeling dizzy and nauseous 1448 hours: Patient called emergency services 1450 hours: Current time, patient still experiencing severe chest pain Prior Events: Patient has been experiencing occasional mild chest discomfort for the past few weeks, which he attributed to indigestion. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, but his son works nearby.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - likely Myocardial Infarction Justification for F2 Classification: - High probability of a life-threatening cardiac event based on presentation - Severe chest pain radiating to the left arm, shortness of breath, diaphoresis - Time-sensitive condition requiring immediate medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (less likely given severity of pain and diaphoresis) 3. Aortic Dissection (lower probability, no reported tearing pain) 4. Pulmonary Embolism (less likely given no specific risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and acquisition - Oxygen administration and IV access - Pain management protocols initiation - Preparation for rapid transport to nearest hospital with cardiac services