Hafnarstræti 18, 600 Akureyri, ground floor, retail space. Single-story concrete building built in 1965. Main entrance is at street level. No elevator. Street parking available. Building equipped with fire alarm system. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6821° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing sudden onset of severe chest pain while working in his shop. Primary symptoms: Severe, crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis. Patient is conscious and distressed. Secondary symptoms: Nausea, dizziness. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 500mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1315 hours: Patient reports sudden onset of severe chest pain while lifting a box 1316 hours: Patient felt pain radiating to left arm and jaw 1317 hours: Patient began experiencing shortness of breath and sweating 1318 hours: Patient called his son for help 1320 hours: Son arrived, called emergency services 1322 hours: Current time, patient is sitting in a chair, pale and diaphoretic Prior Events: Patient reports occasional mild chest discomfort with exertion, attributed to indigestion. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient is a smoker, 1 pack per day for 40 years. No prior cardiac events.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), possibly Myocardial Infarction (MI) Justification for F2 Classification: - High probability of cardiac event based on presentation (chest pain, radiation, diaphoresis, shortness of breath) - Patient has multiple risk factors (age, smoking, hypertension, hyperlipidemia, diabetes) - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely) 3. Aortic Dissection (less likely, no reported tearing pain) 4. Pulmonary Embolism (less likely, no reported pleuritic pain) 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 and IV access - Pain management protocols initiation - Preparation for transport to nearest hospital with cardiac services