Hafnarstræti 18, 600 Akureyri. Ground floor of a two-story wooden building built in 1930, converted into retail space. Main entrance has a single door, no stairs. Street level access. Building is equipped with basic fire extinguishers. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6812° N, 18.0912° W. Nearest landmark: Hof Cultural and Conference Center.
52-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, sweating. Patient reports feeling nauseous and dizzy. Skin pale and clammy. Patient is conscious but distressed. Patient is sitting on a chair in the back office of his shop. Medical history: Hypertension, hyperlipidemia. Medications: Lisinopril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1330 hours: Patient began experiencing mild chest discomfort while working in his shop 1340 hours: Chest pain intensified, radiating to left arm. Patient began feeling short of breath and dizzy 1342 hours: Patient called his wife, who advised him to call emergency services 1345 hours: Current time, patient is sitting down, in significant pain Prior Events: Patient reports occasional mild chest discomfort in the past few months, attributed to stress. No prior history of heart attack. Last medical check-up 6 months ago, routine follow-up. Patient is a smoker (1 pack per day).
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - High probability of cardiac event based on classic symptoms - Severe chest pain, radiation to left arm, shortness of breath - 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 tearing pain reported) 4. Pulmonary Embolism (less likely, no sudden onset of severe shortness of breath) 5. Musculoskeletal chest pain (less likely given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG monitoring and interpretation - Pain management protocols initiation - Preparation for transport to nearest hospital with cardiology services