Hafnarstræti 18, 600 Akureyri, Ground floor of a two-story commercial building. Constructed in 1965, brick and concrete. Main entrance facing the street, accessible via a small step. No elevator. Parking available on the street. No security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6832° N, 18.0899° W. Nearest landmark: Akureyri Art Museum.
68-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 alert and anxious. Skin pale and clammy. Patient is sitting in a chair in his office. Medical history: Hypertension, type 2 diabetes, hypercholesterolemia. Medications: Metformin 500mg twice daily, Ramipril 10mg daily, Atorvastatin 20mg daily. Known allergy to penicillin. Last meal was lunch at 13:00.
Timeline: 1415 hours: Patient began experiencing mild chest discomfort. 1420 hours: Chest pain intensified, radiating to left arm and jaw. Patient became diaphoretic and short of breath. 1422 hours: Patient experienced nausea and dizziness. 1425 hours: Patient called emergency services. 1427 hours: Current time, patient still experiencing severe chest pain and shortness of breath. Prior Events: Patient has a history of stable angina, but reports this pain is significantly worse than previous episodes. Last medical check-up 6 months ago, routine follow-up. Patient reports no recent illnesses or injuries. Patient was at work when symptoms began.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction Justification for F2 Classification: - High probability of a life-threatening cardiac event based on classic symptoms. - Severe chest pain, radiating to left arm and jaw, diaphoresis, shortness of breath. - Time-sensitive condition requiring rapid intervention to minimize myocardial damage. Differential Diagnoses: 1. Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no back pain reported) 4. Pulmonary Embolism (less likely, no pleuritic pain or hemoptysis) 5. Esophageal Spasm (less likely given symptom severity and associated symptoms) 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 capabilities