Hafnarstræti 23, 600 Akureyri, ground floor of a commercial building. The building is a two-story structure built in 1965 with a brick facade. Main entrance is on the street level, no security features. Street parking is available. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6810° N, 18.0910° W. Nearest landmark: Akureyri Art Museum.
51-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain, radiating to left arm and jaw, shortness of breath, diaphoresis. Patient reports feeling very anxious. Secondary symptoms: Nausea. Patient is conscious but appears pale and distressed. Patient is sitting in a chair in his office. Medical history: Hypertension diagnosed 5 years ago, hyperlipidemia. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1330 hours: Patient reports sudden onset of severe chest pain 1331 hours: Patient experiences shortness of breath and sweating 1332 hours: Patient calls his colleague for help 1335 hours: Colleague calls emergency services 1336 hours: Current time, patient still in office, severe chest pain Prior Events: Patient reports occasional episodes of mild chest discomfort, attributed to indigestion. No prior cardiac events. Last medical check-up 6 months ago, routine follow-up. Patient reports high stress levels at work recently. Smokes approximately 10 cigarettes per day.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - High probability of a cardiac event based on symptom presentation - Chest pain radiating to the arm and jaw, shortness of breath, diaphoresis - Time-sensitive condition requiring rapid assessment 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 history of DVT) 5. Musculoskeletal Chest Pain (less likely given severity and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and acquisition - Oxygen administration - Pain management protocols initiation - Preparation for rapid transport to the nearest hospital with cardiac services