Miðvangur 1, 700 Egilsstaðir, ground floor apartment 103. A three-story concrete residential building built in 1995. Main entrance has a buzzer system, no security codes. Street-level access to apartment 103. Parking available in front of the building. Building equipped with a fire alarm system. Current conditions: 7°C, clear skies, good visibility. GPS coordinates: 65.2672° N, 14.3942° W. Nearest landmark: Egilsstaðir Swimming Pool.
62-year-old male, experiencing chest pain. Primary symptoms: Substernal chest pain described as pressure, radiating to left arm and jaw, associated with shortness of breath and sweating. Secondary symptoms: Nausea, dizziness. Patient is conscious and anxious. 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, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 14:15 hours: Patient experienced sudden onset of chest pain while watching TV. 14:17 hours: Patient reports pain radiating to left arm and jaw, started sweating. 14:18 hours: Patient experienced shortness of breath, became nauseous and dizzy. 14:20 hours: Patient called his son, Jónas, for help. 14:22 hours: Jónas arrived and called emergency services. 14:25 hours: Current time, patient still sitting on chair, experiencing ongoing chest pain. Prior Events: Patient reports occasional episodes of mild chest discomfort, usually after exertion. No prior heart attacks or cardiac procedures. Last medical check-up 6 months ago, routine follow-up for chronic conditions. Patient lives alone, but his son lives nearby.
Initial Impression: Suspected Acute Coronary Syndrome (Non-STEMI) Justification for F2 Classification: - High probability of cardiac event based on symptoms: chest pain, radiation, shortness of breath, sweating - Potential for life-threatening condition requiring prompt medical evaluation and intervention - Time-sensitive condition requiring rapid assessment, ECG and possible transport to hospital. Differential Diagnoses: 1. Acute Myocardial Infarction (Non-STEMI, high probability) 2. Angina Pectoris (less likely given symptom severity) 3. Aortic Dissection (lower probability, no tearing pain) 4. Pulmonary Embolism (less likely, no specific risk factors) 5. Musculoskeletal Chest Pain (less likely given symptom characteristics) Required Actions: - Dispatch of ground EMS with ALS capabilities - Initiate cardiac protocols (oxygen, aspirin if not already taken) - ECG acquisition and interpretation - Preparation for transport to nearest hospital with cardiac services