Hafnarstræti 7, 600 Akureyri, ground floor of commercial building. Two-story concrete building built in 1965, renovated in 2005. Main entrance on Hafnarstræti, secondary entrance from parking lot behind the building. No elevator, central staircase. Street parking and parking lot available. Building has fire alarm system. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 65.6817° N, 18.0921° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing sudden onset chest pain. Primary symptoms: Severe, crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Patient reports feeling lightheaded and nauseous. Secondary symptoms: Anxiety, pale skin. Patient is conscious and alert but distressed. Patient is sitting in his office chair. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 500mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was lunch at 12:30.
Timeline: 1345 hours: Patient began experiencing mild chest discomfort 1350 hours: Chest pain intensified, radiating to left arm, shortness of breath developed 1352 hours: Patient became lightheaded, started sweating, felt nauseous 1355 hours: Patient called emergency services 1357 hours: Current time, patient remains in office chair, stable but distressed Prior Events: Patient reports no recent illnesses or injuries. History of stable angina, but this pain is different. Last medical check-up 6 months ago, routine follow-up. Patient is alone in his office.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Possible Myocardial Infarction Justification for F2 Classification: - High probability of cardiac event based on symptoms (severe chest pain, radiation, shortness of breath, diaphoresis) - Patient has multiple risk factors for cardiovascular disease - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely) 3. Aortic Dissection (less likely, no tearing pain reported) 4. Pulmonary Embolism (less likely, no specific risk factors or sudden onset of severe dyspnea) 5. Pericarditis (less likely, no pleuritic chest pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Rapid ECG acquisition and interpretation - Oxygen administration if needed - Aspirin administration if not contraindicated - Preparation for transport to nearest hospital with cardiac services