Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building, built in 1925. Main entrance on the street, no elevator, one staircase to the second floor. Street parking available. Building has basic fire safety equipment. Current conditions: 7°C, clear sky, good visibility. GPS coordinates: 65.6824° N, 18.0892° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis. Patient reports feeling dizzy and nauseous. Patient alert but anxious. Skin pale and clammy. Patient sitting on a chair in his living room. Medical history: Hypertension, hypercholesterolemia, previous mild angina. Medications: Atorvastatin 20mg daily, Ramipril 10mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient began experiencing mild chest discomfort while watching TV 1420 hours: Chest pain intensified, radiating to left arm and jaw 1422 hours: Patient started feeling short of breath and nauseous 1425 hours: Patient called emergency services 1427 hours: Current time, patient still experiencing severe chest pain Prior Events: Patient reports occasional mild chest discomfort during exertion, previously diagnosed as stable angina. Last ECG 6 months ago was normal. No recent illnesses or injuries. Last medical check-up 2 months ago, routine follow-up. Patient lives alone.
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 with radiation, shortness of breath, diaphoresis - Time-sensitive condition requiring immediate medical intervention Differential Diagnoses: 1. Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no pleuritic pain) 5. Musculoskeletal Chest Pain (less likely given severity and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG acquisition and interpretation - Administration of oxygen and aspirin - Preparation for transport to nearest hospital with cardiac catheterization lab