Hafnarstræti 23, 600 Akureyri, second floor office 204. Three-story brick commercial building built in 1965. Main entrance on Hafnarstræti with a secondary entrance from the parking lot behind the building. Elevator and central staircase. Street parking available. Building has a basic fire alarm system. Current conditions: 7°C, overcast, moderate wind. GPS coordinates: 65.6821° N, 18.0917° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing chest pain at work. Primary symptoms: Severe, 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 in his office chair. Medical history: Hypertension, hyperlipidemia, previous smoking history (quit 5 years ago). Medications: Ramipril 10mg daily, Atorvastatin 20mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 13:15 hours: Patient began experiencing mild chest discomfort 13:20 hours: Chest pain increased in intensity, described as 'crushing' with radiation to left arm 13:25 hours: Onset of shortness of breath and diaphoresis 13:27 hours: Patient called his colleague for help 13:29 hours: Colleague called emergency services 13:30 hours: Current time, patient is sitting, conscious, and anxious Prior Events: Patient reports occasional episodes of mild chest discomfort in the past month, attributed to indigestion. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries.
Initial Impression: Suspected Acute Coronary Syndrome - Non STEMI Justification for F2 Classification: - Classic symptoms of ACS: severe chest pain, radiation, shortness of breath, diaphoresis - Patient has risk factors for cardiac disease: hypertension, hyperlipidemia, smoking history - Condition is potentially life-threatening, requiring prompt medical evaluation and treatment Differential Diagnoses: 1. Acute Myocardial Infarction (Non-STEMI, high probability) 2. Angina Pectoris (less likely due to severity and duration of pain) 3. Aortic Dissection (lower probability, no ripping pain) 4. Pulmonary Embolism (less likely, no pleuritic pain) 5. Musculoskeletal Chest Pain (less likely given the severity and radiation of pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration if indicated - Aspirin administration if not already taken - Preparation for transport to nearest hospital with cardiac services