Hafnarstræti 18, 600 Akureyri, Ground floor of a two-story commercial building, former shop, now a small office. Main entrance is at street level with a small step. No elevator. One main exit to the street and a back door to a parking lot. Building is approximately 40 years old, concrete construction. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.6832° N, 18.0895° W. Nearest landmark: Akureyri Art Museum.
56-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain, radiating to left arm, shortness of breath, diaphoresis, nausea. Patient is pale and anxious. Medical history: Hypertension, hyperlipidemia, previous smoking history (quit 5 years ago). Medications: Lisinopril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient was sitting at his desk when he suddenly felt a crushing pain in his chest. 1416 hours: Pain intensified, radiating down his left arm. Patient started sweating and felt nauseous. 1417 hours: Patient attempted to walk but felt dizzy and short of breath. 1418 hours: Patient called his colleague for help. 1420 hours: Colleague called emergency services. Patient is now sitting on a chair, pale and distressed. Prior Events: Patient has had no recent illnesses or injuries. Last medical check-up 6 months ago showed stable hypertension and hyperlipidemia. No previous history of cardiac issues reported.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Possible Myocardial Infarction Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptoms - Severe chest pain, radiating to left arm, associated with diaphoresis and shortness of breath - 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 reported risk factors) 5. Musculoskeletal Chest Pain (less likely given the severity and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - Initiate cardiac monitoring and oxygen therapy - Pain management protocols initiation - Preparation for transport to nearest hospital with cardiac services