Hafnarstræti 23, 600 Akureyri, ground floor of a two-story wooden building. Built in 1950, recently renovated. Main entrance at street level, no steps. Secondary exit to the back alley. No security features. Current conditions: 8°C, overcast, light wind. GPS coordinates: 65.6818° N, 18.0912° 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 lightheaded. Secondary symptoms: Nausea, anxiety. Patient is conscious and alert but visibly distressed. Skin is pale and clammy. Patient is sitting on a chair in his office. Medical history: Diagnosed with hypertension and hypercholesterolemia 5 years ago, family history of heart disease. Medications: Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1410 hours: Patient started experiencing mild chest discomfort 1415 hours: Chest pain intensified, radiating to left arm, patient became short of breath 1418 hours: Patient started sweating, feeling lightheaded 1420 hours: Patient called emergency services 1422 hours: Current time, patient is still experiencing severe chest pain and shortness of breath. Prior Events: Patient reports occasional mild chest discomfort over the past few months, no prior episodes of severe chest pain. Last medical check-up 6 months ago, routine follow-up. Patient has been under stress at work lately. He was working at his desk when the symptoms started.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) / Myocardial Infarction (MI) Justification for F2 Classification: - High probability of cardiac event based on classic symptoms: severe chest pain, radiation to left arm, shortness of breath, diaphoresis - Time-sensitive condition requiring rapid medical intervention to prevent myocardial damage and cardiac arrest - Patient has known risk factors for heart disease (hypertension, hypercholesterolemia, family history) 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. Musculoskeletal Chest Pain (less likely, symptoms too severe) Required Actions: - Dispatch of ground EMS with ALS capabilities - Administration of oxygen, aspirin, and nitroglycerin if available - Continuous cardiac monitoring and ECG acquisition - Preparation for rapid transport to nearest hospital with cardiac catheterization lab