Hafnarstræti 18, 600 Akureyri, ground floor of a two-story commercial building. The building is of older brick construction, built in 1955. Main entrance is at street level, no stairs. One back entrance with a small step. Parking is available on the street. Building is equipped with a basic fire alarm system. Current conditions: 7°C, overcast, light wind. GPS coordinates: 65.6821° N, 18.0911° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing sudden onset of severe chest pain. Primary symptoms: Intense, crushing chest pain radiating to left arm, shortness of breath, sweating. Patient reports feeling lightheaded. Patient is alert but anxious. Secondary symptoms: Nausea, mild dizziness. Patient is sitting in a chair in his office. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 20mg daily. No known allergies. Last meal was lunch at 12:00, a sandwich.
Timeline: 1410 hours: Patient began experiencing chest pain while working at his desk 1412 hours: Pain intensified, patient began sweating and feeling short of breath 1414 hours: Patient called his son for help 1416 hours: Son arrived, called emergency services 1418 hours: Current time, patient still in chair, experiencing ongoing pain Prior Events: Patient reports a history of occasional mild chest discomfort with exertion, but nothing like this. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, but son works nearby.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) / Myocardial Infarction (MI) Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptoms - Severe chest pain, radiation to arm, shortness of breath, diaphoresis - Time-sensitive condition requiring immediate medical intervention Differential Diagnoses: 1. Myocardial Infarction (high probability) 2. Unstable Angina (likely, but needs further evaluation) 3. Aortic Dissection (less likely but must be considered) 4. Pulmonary Embolism (less likely given presentation) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - Cardiac monitoring - Aspirin administration if not contraindicated - Preparation for transport to nearest hospital with cardiac services