Hafnarstræti 18, 600 Akureyri. Ground floor of a two-story commercial building, converted into office space. Main entrance faces the street with a single glass door. No security features. Building is of older construction, concrete and wood. Parking available on the street. Current conditions: 7°C, overcast, light wind. GPS coordinates: 65.6821° N, 18.0915° W. Nearest landmark: Akureyri Art Museum.
62-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is pale and anxious. Patient sitting on a chair in his office. Medical history: Hypertension, hyperlipidemia, family history of heart disease. Medications: Lisinopril 20mg daily, Atorvastatin 40mg 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 1420 hours: Chest pain intensified, radiating to left arm and jaw 1422 hours: Patient started sweating profusely and felt short of breath 1425 hours: Patient called his colleague for help 1427 hours: Colleague called emergency services 1429 hours: Current time, patient still experiencing severe chest pain Prior Events: Patient reports occasional mild chest discomfort over the past few months, attributed to indigestion. No prior hospitalizations for cardiac issues. Last medical check-up 6 months ago, routine follow-up. Patient is a smoker, 1 pack per day for 40 years.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - likely Myocardial Infarction Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptoms and risk factors - Severe chest pain with radiation, shortness of breath, diaphoresis - Time-sensitive condition requiring rapid medical intervention to prevent irreversible damage Differential Diagnoses: 1. Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no reported back pain) 4. Pulmonary Embolism (less likely, no history of recent surgery or prolonged immobility) 5. Esophageal Spasm (less likely, symptoms more severe) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Aspirin administration - Pain management protocols initiation - Preparation for transport to nearest hospital with cardiac services