Miðvangur 15, 700 Egilsstaðir, second floor apartment 203. Three-story residential building constructed in 1995. Main entrance requires a key or intercom. One elevator and a central stairwell. Street parking available. Building equipped with a fire alarm system. Current conditions: 8°C, overcast, moderate visibility. GPS coordinates: 65.2653° N, 14.3947° W. Nearest landmark: Egilsstaðir Airport.
65-year-old male, experiencing chest pain. Primary symptoms: Central chest pain described as pressure, radiating to the left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is alert but anxious. Skin is pale and clammy. Patient is sitting on a chair in his living room. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 40mg daily, Lisinopril 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient started experiencing mild chest discomfort. 1445 hours: Chest pain increased in intensity, radiating to the left arm and jaw. 1450 hours: Patient became diaphoretic and short of breath. 1455 hours: Patient called his son for help. 1500 hours: Son arrived and called emergency services. 1502 hours: Current time, patient is sitting in a chair, pale and anxious. Prior Events: Patient has had occasional episodes of mild chest discomfort in the past year, attributed to indigestion. Last medical check-up was 6 months ago for routine diabetes follow-up. No recent illnesses or injuries. Patient lives alone, but son lives nearby.
Initial Impression: Suspected Acute Coronary Syndrome (Non-STEMI) Justification for F2 Classification: - High probability of cardiac event based on classic symptoms: chest pain, radiation, diaphoresis, shortness of breath - Patient has risk factors for coronary artery disease (hypertension, hyperlipidemia, diabetes) - Time-sensitive condition requiring prompt medical evaluation and treatment to prevent myocardial infarction Differential Diagnoses: 1. Acute Coronary Syndrome (high probability) 2. Angina (less likely due to severity and duration) 3. Aortic Dissection (less likely given no tearing pain) 4. Pulmonary Embolism (less likely given no pleuritic pain) 5. Gastroesophageal Reflux Disease (less likely given radiation and diaphoresis) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring - Oxygen administration - Aspirin administration (if not contraindicated) - Preparation for transport to nearest hospital with cardiac services