Miðgarður 11, 700 Egilsstaðir, single-story residential house. Built in 1985, wood construction. Main entrance at the front, one back exit to the garden. No security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2667° N, 14.3999° W. Nearest landmark: Egilsstaðir Airport.
65-year-old male, experiencing chest pain. Primary symptoms: Chest pain described as pressure, radiating to the left arm, shortness of breath, sweating. Secondary symptoms: Nausea, lightheadedness. Patient is conscious and alert, but anxious. Patient is sitting on the sofa in his living room. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 40mg daily, Ramipril 5mg daily, Aspirin 75mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 1500 hours: Patient started experiencing chest pain, initially mild. 1515 hours: Chest pain intensified, radiating to left arm, shortness of breath started. 1520 hours: Patient started sweating, felt nauseous and lightheaded. 1525 hours: Patient called emergency services. 1527 hours: Current time, patient is still experiencing symptoms. Prior Events: Patient reports similar episodes of mild chest discomfort in the past, but never this severe. Last medical check-up 6 months ago, routine follow-up for chronic conditions. Patient lives with his wife.
Initial Impression: Suspected Acute Coronary Syndrome - Non-STEMI Justification for F2 Classification: - Presentation of chest pain with radiation, shortness of breath, sweating, and nausea - Patient's medical history includes risk factors for ACS (hypertension, hyperlipidemia, diabetes) - Time-sensitive condition requiring prompt medical evaluation and treatment to prevent progression to STEMI or cardiac arrest Differential Diagnoses: 1. Non-ST-elevation Myocardial Infarction (NSTEMI) (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, but must be considered) 4. Pulmonary Embolism (less likely, no recent travel or immobilization) 5. Musculoskeletal chest pain (less likely given symptom severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - Initiate ECG monitoring - Oxygen administration - Aspirin administration if not already taken - IV access and preparation for nitroglycerin administration - Rapid transport to nearest hospital with cardiac catheterization capabilities