Hafnarstræti 7, 600 Akureyri, ground floor of the old fish factory, now a community center. One-story concrete building with large windows, built in 1950. Main entrance is through the double doors facing the street. No elevator. Street parking available. Building has a fire alarm system and basic security. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6823° N, 18.0897° 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. Patient reports feeling dizzy. Secondary symptoms: Nausea. Patient is conscious but anxious. Skin is pale and clammy. Patient sitting on a chair in the main hall of the community center. Medical history: Diagnosed with hypertension and hypercholesterolemia 5 years ago. Medications: Lisinopril 10mg daily, Atorvastatin 20mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1315 hours: Patient started feeling mild chest discomfort 1320 hours: Chest pain intensified, radiating to left arm 1322 hours: Patient became short of breath and sweaty 1325 hours: Patient called his friend for help 1328 hours: Friend called emergency services 1330 hours: Current time, patient is still experiencing severe chest pain Prior Events: Patient reports experiencing mild chest discomfort during exercise over the past few weeks. No prior heart attacks or hospitalizations for cardiac issues. Last medical check-up 6 months ago, routine follow-up. Patient was attending a social event at the community center.
Initial Impression: Suspected Acute Coronary Syndrome (ACS), most likely Myocardial Infarction (MI) Justification for F2 Classification: - High probability of life-threatening cardiac event based on classic symptoms - Severe chest pain, radiation, shortness of breath, diaphoresis - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Myocardial Infarction (high probability) 2. Unstable Angina (less likely due to severity of pain) 3. Aortic Dissection (less likely given no reported back pain) 4. Pulmonary Embolism (less likely given no risk factors) 5. Musculoskeletal Chest Pain (less likely given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring initiation - Oxygen therapy and pain management protocols - Preparation for transport to nearest hospital with cardiac services