Hafnarstræti 23, 600 Akureyri, ground floor, main entrance. A two-story wooden building, built in 1920. Entrance has a small step. No elevator access. Street parking available. Building has a fire alarm system. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6823° N, 18.0920° W. Nearest landmark: Akureyri Art Museum.
62-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Patient reports feeling of impending doom. Secondary symptoms: Nausea, dizziness. Patient is pale and anxious. Patient is sitting on a chair in his office. Medical history: Hypertension, hypercholesterolemia, family history of heart disease. Medications: Atorvastatin 20mg daily, Lisinopril 10mg daily, Aspirin 75mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1315 hours: Patient began experiencing mild chest discomfort while working at his desk. 1320 hours: Chest pain intensified, radiating to left arm, patient became short of breath. 1322 hours: Patient started sweating profusely, felt nauseous and dizzy. 1325 hours: Patient called his son for help, son called emergency services. 1327 hours: Current time, patient still experiencing severe chest pain. Prior Events: Patient had a routine check-up 6 months ago, no new concerns noted. Reports occasional mild chest discomfort with exertion in the past year, but has not sought medical attention for it. No recent illnesses or injuries. Patient is a smoker, 1 pack per day for 40 years. Last smoked a cigarette about 30 minutes before the onset of symptoms.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), likely Myocardial Infarction (MI) Justification for F2 Classification: - High probability of life-threatening cardiac event based on classic symptoms - Severe chest pain, radiating to left arm, shortness of breath, diaphoresis - Time-sensitive condition requiring prompt medical intervention to minimize myocardial damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely) 3. Aortic Dissection (less likely, no tearing pain reported) 4. Pulmonary Embolism (less likely, no risk factors reported) 5. Musculoskeletal Chest Pain (less likely given severity and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Administration of oxygen and aspirin - Preparation for rapid transport to hospital with cardiac catheterization facilities