Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. Four-story concrete residential building constructed in 1985. Main entrance requires key or intercom. One elevator and central stairwell. Street parking available. Building equipped with smoke detectors. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6812° N, 18.0921° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Patient reports feeling 'very unwell'. Secondary symptoms: Nausea, dizziness. Patient is conscious and alert, but anxious. Skin is pale and clammy. Patient is sitting on a chair in his living room. Medical history: History of hypertension, hyperlipidemia, and type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily, Aspirin 75mg daily. Known allergy to penicillin. Last meal was a light lunch at 13:00.
Timeline: 1445 hours: Patient experienced sudden onset of chest pain 1446 hours: Patient reports pain radiating to left arm, increasing in severity 1447 hours: Patient became short of breath and diaphoretic 1448 hours: Patient called his son for help 1450 hours: Son arrived, called emergency services 1452 hours: Current time, patient still sitting in chair, reporting severe pain Prior Events: Patient reports occasional mild chest discomfort in the past, but nothing of this severity. No recent hospitalizations or surgeries. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, son lives nearby.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Possible Myocardial Infarction (MI) Justification for F2 Classification: - High probability of a cardiac event based on symptom presentation - Severe chest pain, radiation to arm, shortness of breath, diaphoresis - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (MI) (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely given presentation) 4. Pulmonary Embolism (less likely given presentation) 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 transport to nearest hospital with cardiac services