Hafnarstræti 23, 600 Akureyri, third floor, office 301. A modern, five-story office building constructed in 2015. Main entrance has an electronic access system during off-hours, otherwise open during business hours. Two elevators and a central stairwell are available. Street parking available with limited spaces. Building is equipped with a full fire suppression system. Current conditions: 7°C, overcast, light wind, good visibility. GPS coordinates: 65.6822° N, 18.0918° W. Nearest landmark: Akureyri Art Museum.
56-year-old male, experiencing acute onset chest pain while at work. Primary symptoms: Severe, crushing chest pain radiating to the left arm, shortness of breath, and diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious but appears pale and distressed. Patient sitting at his desk. Medical history: Hypertension diagnosed 5 years ago, hyperlipidemia. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1330 hours: Patient started feeling mild discomfort in his chest 1335 hours: Pain intensified rapidly, radiating to left arm, accompanied by shortness of breath 1337 hours: Patient reported symptoms to his coworker, who called emergency services 1340 hours: Current time, patient still at his desk, feeling severe pain and shortness of breath Prior Events: Patient reports occasional mild chest discomfort in the past month, but no prior episodes of severe pain. Last medical check-up was 6 months ago, routine follow-up. No recent illnesses or injuries. Patient works in a sedentary office environment.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction (MI) Justification for F2 Classification: - High probability of cardiac event based on chest pain characteristics (crushing, radiating), shortness of breath, and diaphoresis. - Time-sensitive condition requiring rapid medical evaluation and intervention to prevent further myocardial damage Differential Diagnoses: 1. Myocardial Infarction (high probability) 2. Unstable Angina (likely, needs to be ruled out) 3. Aortic Dissection (less likely, but must be considered) 4. Pulmonary Embolism (less likely, but must be considered) 5. Pericarditis (less likely, different pain characteristics) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG acquisition and interpretation - Oxygen administration - Aspirin administration - Preparation for transport to nearest hospital with cardiac catheterization capabilities