Hafnarstræti 96, 600 Akureyri, third floor apartment 3B. A five-story reinforced concrete building constructed in 1995. Main entrance requires a key or intercom. One elevator and a central stairwell. Street parking available. The building has a fire alarm system. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6823° N, 18.0889° W. Nearest landmark: Hof Cultural and Conference Center.
65-year-old male, experiencing chest pain. Primary symptoms: Severe, crushing chest pain radiating to the left arm, shortness of breath, sweating. Secondary symptoms: Nausea, dizziness. Patient is conscious and anxious. Skin 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 40mg daily, Lisinopril 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 14:15 hours: Patient experienced sudden onset of chest pain while resting 14:16 hours: Patient describes pain as severe and radiating to left arm 14:17 hours: Patient reports increasing shortness of breath and sweating 14:18 hours: Patient took one aspirin (300mg) at home. 14:20 hours: Patient called his son for help 14:22 hours: Son arrived, called emergency services 14:24 hours: Current time, patient still sitting, experiencing chest pain Prior Events: Patient reports experiencing mild chest discomfort occasionally over the past month, attributed to indigestion. Last medical check-up was 6 months ago, routine follow-up. Patient is a former smoker (quit 10 years ago). No recent illnesses or injuries.
Initial Impression: Suspected Acute Coronary Syndrome - Non-STEMI Justification for F2 Classification: - High probability of cardiac event based on chest pain characteristics, radiation, and associated symptoms - Patient has risk factors for cardiovascular disease (hypertension, hyperlipidemia, diabetes) - Time-sensitive condition requiring prompt medical evaluation and treatment Differential Diagnoses: 1. Non-ST-Elevation Myocardial Infarction (NSTEMI) (high probability) 2. Unstable Angina (probable) 3. Aortic Dissection (less likely given lack of tearing pain) 4. Pulmonary Embolism (less likely given lack of specific risk factors) 5. Musculoskeletal Chest Pain (less likely given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration if needed - Pain management with nitrates if not contraindicated - Preparation for transport to nearest hospital with cardiac catheterization lab