Hafnarstræti 20, 600 Akureyri, ground floor, apartment 1B. Three-story wooden building constructed in 1955. Main entrance has a coded lock (code: 1947). No elevator, access via front door. Street parking available. Building has smoke detectors. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6810° N, 18.0875° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain, radiating to the left arm and jaw, shortness of breath, diaphoresis. Patient reports sudden onset of symptoms. Secondary symptoms: Nausea, lightheadedness. Patient is conscious but anxious. Skin pale and clammy. Patient 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: 1400 hours: Patient started experiencing mild chest discomfort. 1415 hours: Chest pain intensified, radiating to left arm and jaw. 1420 hours: Patient became short of breath and diaphoretic. 1425 hours: Patient called his son for help. 1428 hours: Son arrived and called emergency services. 1430 hours: Current time, patient still in chair, experiencing severe pain. Prior Events: Patient had an episode of similar chest pain 6 months ago, evaluated at the hospital, but no cardiac event was found. Last medical check-up 2 months ago, routine follow-up. Patient reports recent increase in stress due to work.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - High probability of cardiac event based on chest pain characteristics and associated symptoms - Time-sensitive condition requiring prompt medical evaluation and intervention - Patient has multiple risk factors for ACS Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (moderate probability) 3. Aortic Dissection (lower probability, no back pain reported) 4. Pulmonary Embolism (lower probability, no reported leg pain or swelling) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - Cardiac monitoring and ECG - Preparation for transport to nearest hospital with cardiac catheterization lab