Hafnarstræti 23, 600 Akureyri, ground floor, commercial building. Two-story concrete building built in 1965. Main entrance is at street level, no stairs. Multiple large glass windows. Street parking available. Building is equipped with fire alarms and sprinkler system. Current conditions: 8°C, overcast, moderate visibility. GPS coordinates: 65.6839° N, 18.0928° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain, radiating to left arm, shortness of breath, diaphoresis. Patient reports feeling dizzy and nauseous. Patient is conscious and anxious. Skin is pale and clammy. Patient sitting on a chair in his office. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient started feeling mild chest discomfort 1420 hours: Chest pain intensified, radiating to left arm 1422 hours: Patient became short of breath, started sweating 1425 hours: Patient called his son for help 1427 hours: Son arrived, called emergency services 1429 hours: Current time, patient sitting in office, experiencing severe chest pain Prior Events: Patient reports occasional mild chest discomfort in the past, attributed to indigestion. No prior cardiac events. Last medical check-up 6 months ago, routine follow-up. Patient has a history of smoking, quit 2 years ago. No recent illnesses or injuries.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) / Myocardial Infarction Justification for F2 Classification: - High probability of life-threatening condition based on symptoms and risk factors - Severe chest pain, radiating to left arm, shortness of breath, diaphoresis - Time-sensitive condition requiring prompt medical evaluation and treatment Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely) 3. Aortic Dissection (less likely given presentation) 4. Pulmonary Embolism (less likely given presentation) 5. Gastroesophageal Reflux (less likely given severity of pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Aspirin administration (if not contraindicated) - Preparation for transport to nearest hospital with cardiac catheterization lab