Hafnarstræti 22, 600 Akureyri. Ground floor of a two-story wooden commercial building, built in 1955. Main entrance is street-level with a single door, no steps. Secondary entrance at the back, accessed through a narrow alleyway. Building is not equipped with a fire alarm system. Street parking available. Current conditions: 8°C, overcast, moderate wind. GPS coordinates: 65.6823° N, 18.0889° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis. Patient reports sudden onset of symptoms. Secondary symptoms: Nausea, dizziness. Patient is conscious and anxious. Skin pale and clammy. Patient is sitting on a chair in his office. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 500mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1310 hours: Patient began experiencing chest discomfort while working 1312 hours: Pain intensified, radiating to left arm and jaw, associated with shortness of breath 1315 hours: Patient became diaphoretic, felt nauseous and dizzy 1317 hours: Patient called his son for help, son called emergency services 1320 hours: Current time, patient still experiencing chest pain, sitting in his office Prior Events: Patient reports occasional mild chest discomfort in the past, attributed to indigestion. No prior cardiac events. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, but son works nearby.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - High probability of cardiac event based on classic symptoms (chest pain, radiation, diaphoresis) - Potential for life-threatening arrhythmia or cardiac arrest - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no reported tearing pain) 4. Pulmonary Embolism (less likely, no reported pleuritic pain) 5. Esophageal Spasm (less likely, pain severity is higher) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and acquisition - Oxygen therapy - Aspirin administration (if no contraindications) - Preparation for transport to nearest hospital with cardiac services