Miðvangur 2, 700 Egilsstaðir, first floor apartment 103. A three-story concrete residential building constructed in 1995. Main entrance requires a key or intercom. There is one elevator and a central stairwell. Street parking is available. The building is equipped with a fire alarm system. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 65.2667° N, 14.3952° W. Nearest landmark: Egilsstaðir swimming pool.
62-year-old male, experiencing chest pain. Primary symptoms: Severe, crushing chest pain radiating to the left arm, shortness of breath, nausea, diaphoresis. Patient is conscious and anxious. Secondary symptoms: Dizziness. Patient is sitting in a chair in his living room. Medical history: Hypertension, hypercholesterolemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 14:30 hours: Patient began experiencing mild chest discomfort while watching TV 14:45 hours: Chest pain intensified, radiating to left arm, shortness of breath began 14:50 hours: Patient became diaphoretic and nauseous 14:55 hours: Patient called his wife for help, who then called emergency services 15:00 hours: Current time, patient is sitting in chair, experiencing severe chest pain. Prior Events: Patient reports similar episodes of mild chest discomfort in the past month, which he attributed to indigestion. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient lives with his wife.
Initial Impression: Suspected Acute Coronary Syndrome - Non-STEMI Justification for F2 Classification: - Significant chest pain with associated symptoms (radiation, shortness of breath, nausea, diaphoresis) - Risk factors for cardiovascular disease (hypertension, hypercholesterolemia, diabetes) - Time-sensitive condition requiring prompt medical evaluation and treatment Differential Diagnoses: 1. Acute Myocardial Infarction (Non-STEMI) (high probability) 2. Angina Pectoris (less likely given severity and duration of symptoms) 3. Aortic Dissection (less likely given lack of tearing pain) 4. Pulmonary Embolism (less likely given lack of specific risk factors) 5. Gastroesophageal Reflux Disease (less likely given severity and radiation of pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and acquisition - Oxygen therapy - Pain management protocols initiation - Preparation for transport to nearest hospital with cardiac services