Hafnarstræti 98, 600 Akureyri, third floor apartment 3B. Five-story reinforced concrete building constructed in 1995. Main entrance with key code access (1973). Elevator and stairwell available. Street parking. Building has a sprinkler system. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6821° N, 18.0915° W. Nearest landmark: Hof Cultural and Conference Center.
65-year-old male, experiencing chest pain. Primary symptoms: Severe chest pain described as crushing, radiating to left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient alert but anxious. Skin pale and clammy. Patient sitting in a chair in his living room. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1315 hours: Patient started experiencing chest discomfort while resting. 1320 hours: Chest pain intensified, radiating to left arm and jaw. Patient became diaphoretic. 1325 hours: Patient experienced shortness of breath and nausea. 1330 hours: Patient called his son for help. 1335 hours: Son arrived, called emergency services. 1337 hours: Current time, patient sitting in a chair, still experiencing chest pain. Prior Events: Patient reports occasional mild chest discomfort over the past few months, attributed to indigestion. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient lives with his wife, son lives nearby.
Initial Impression: Suspected Acute Coronary Syndrome (Non-STEMI) Justification for F2 Classification: - High probability of cardiac event based on chest pain characteristics and associated symptoms. - Presence of radiating pain, diaphoresis, and shortness of breath. - Patient has multiple risk factors for coronary artery disease. - Time-sensitive condition requiring prompt medical evaluation and treatment. Differential Diagnoses: 1. Acute Myocardial Infarction (Non-STEMI) (high probability) 2. Unstable Angina (possible) 3. Aortic Dissection (less likely given presentation) 4. Pulmonary Embolism (less likely given lack of specific risk factors) 5. Esophageal Spasm (less likely given severity and radiation of pain) Required Actions: - Dispatch of ground EMS with ALS capabilities. - ECG monitoring and interpretation. - Administration of aspirin and oxygen. - Preparation for transport to nearest hospital with cardiac catheterization lab.