Hafnarstræti 18, 600 Akureyri, ground floor, retail shop. Single-story commercial building constructed in 1965. Main entrance is glass double doors directly onto the street. No elevator. Street parking available. Building equipped with basic fire extinguishers. Current conditions: 8°C, overcast, moderate visibility. GPS coordinates: 65.6825° N, 18.0912° W. Nearest landmark: Hof Cultural and Conference Center.
65-year-old male, experiencing severe chest pain while working in his shop. Primary symptoms: Crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient alert but anxious. Skin pale and clammy. Patient is sitting on a chair in his shop. Medical history: Hypertension, type 2 diabetes. Medications: Metformin 500mg twice daily, Lisinopril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1445 hours: Patient began experiencing mild chest discomfort 1450 hours: Chest pain increased in intensity, radiating to left arm and jaw 1452 hours: Patient developed shortness of breath and diaphoresis 1455 hours: Patient sat down, called emergency services 1457 hours: Current time, patient still sitting, experiencing chest pain Prior Events: Patient reports occasional episodes of mild chest discomfort over the past month, attributed to indigestion. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient lives with his wife.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Possible Myocardial Infarction (MI) Justification for F2 Classification: - High probability of cardiac event based on classic symptoms: chest pain, radiation, shortness of breath, diaphoresis - Time-sensitive condition requiring prompt medical evaluation and intervention - Potential for rapid deterioration Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely given no back pain or tearing sensation) 4. Pulmonary Embolism (less likely given no pleuritic pain or risk factors) 5. Esophageal Spasm (less likely given the severity and radiation of pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Administration of aspirin and oxygen - Preparation for transport to nearest hospital with cardiac catheterization lab