Hafnarstræti 19, 600 Akureyri, ground floor. Two-story wooden building, built in 1935. Main entrance is street-level, no steps. No elevator. Street parking available. Building has basic fire safety equipment. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6821° N, 18.0913° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, sweating. Patient reports sudden onset of symptoms while resting at home. Secondary symptoms: Nausea, dizziness. Patient is conscious but anxious. Skin is pale and clammy. Patient is 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 13:00.
Timeline: 1500 hours: Patient was resting in his living room, watching TV. 1505 hours: Patient began experiencing chest pain, described as crushing and severe. 1506 hours: Pain radiated to left arm, patient became short of breath. 1507 hours: Patient started sweating, feeling nauseous and dizzy. 1508 hours: Patient called his son for help. 1510 hours: Son arrived, called emergency services. 1512 hours: Current time, patient is still experiencing chest pain, sitting in chair. Prior Events: Patient has a history of stable angina, no recent hospitalizations. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient lives with his wife, son lives nearby.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction Justification for F2 Classification: - High probability of significant cardiac event based on classic symptoms (chest pain, radiation, shortness of breath, diaphoresis) - Time-sensitive condition requiring rapid medical intervention to prevent further myocardial damage and potentially life-threatening complications Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely, but requires urgent assessment) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no sudden onset of pleuritic pain) 5. Esophageal Spasm (less likely, pain not typically radiating) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG acquisition and interpretation - Oxygen administration if required - Aspirin administration if not already taken - Preparation for transport to nearest hospital with cardiac catheterization capabilities