Hafnarstræti 20, 600 Akureyri. Ground floor of a two-story wooden building, built in 1950. Main entrance is street-level with no steps. No elevator. Parking available on the street. Building is not equipped with a fire alarm system. Current conditions: 7°C, overcast, light wind. GPS coordinates: 65.6824° N, 18.0916° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious but anxious. Skin is pale and clammy. Patient is sitting on a chair in his office. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 500mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient began experiencing mild chest discomfort while working. 1420 hours: Chest pain intensified, radiating to left arm, accompanied by shortness of breath and sweating. 1422 hours: Patient felt nauseous and dizzy. 1425 hours: Patient called emergency services. 1427 hours: Current time, patient still experiencing severe chest pain and symptoms. Prior Events: Patient has a history of stable angina but reports this episode is much more severe. No recent changes in medication. Last medical check-up 6 months ago, routine follow-up. Patient has a family history of heart disease. No recent illnesses or injuries.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Likely Myocardial Infarction Justification for F2 Classification: - High probability of life-threatening condition based on symptoms and risk factors - Severe chest pain, radiating to left arm, shortness of breath, diaphoresis - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely, but needs immediate evaluation) 3. Aortic Dissection (less likely given the pain presentation) 4. Pulmonary Embolism (lower probability, no risk factors reported) Required Actions: - Dispatch of ground EMS with ALS capabilities - Cardiac monitoring and 12-lead ECG - Oxygen administration - Aspirin administration - Preparation for rapid transport to nearest hospital with cardiac catheterization lab