Hafnarstræti 96, 600 Akureyri. Three-story building with a mix of commercial and residential units. Ground floor is a clothing store, upper floors are apartments. Main entrance on Hafnarstræti, secondary entrance from the back alley. Building constructed in 1965, concrete structure with wooden interior framing. No elevator, access via central staircase. Current weather: 7°C, overcast, light breeze. GPS: 65.6811° N, 18.0894° 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. Patient is sitting on a chair in his living room. Medical history: Hypertension, hyperlipidemia, previous myocardial infarction 5 years ago. Medications: Aspirin 81mg daily, Atorvastatin 20mg daily, Metoprolol 50mg twice daily, Lisinopril 10mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient began experiencing mild chest discomfort while watching TV 1445 hours: Chest pain intensified, radiating to left arm, shortness of breath began 1450 hours: Patient became diaphoretic, felt nauseous and dizzy 1455 hours: Patient called emergency services 1457 hours: Current time, patient remains seated, in severe discomfort Prior Events: Patient had a myocardial infarction 5 years ago, treated with PCI. Patient reports consistent medication adherence. No recent changes in health or activity level. Last medical check-up 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - High probability of cardiac event based on classic symptoms (chest pain, radiation, diaphoresis) - Previous history of myocardial infarction - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely, given history) 3. Aortic Dissection (less likely, but needs consideration) 4. Pulmonary Embolism (lower probability, no risk factors) 5. Musculoskeletal Chest Pain (less likely, given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Aspirin administration (if not already taken) - Preparation for rapid transport to hospital with cardiac catheterization lab