Hafnargata 14, 735 Norðfjörður, first floor apartment 1B. A two-story wooden residential building built in 1965. Main entrance has a simple lock. One external staircase. Street parking available. Building has a basic fire alarm system. Current conditions: 8°C, overcast, light winds, good visibility. GPS coordinates: 65.2032° N, 14.2156° W. Nearest landmark: Norðfjörður harbor.
68-year-old male, experiencing chest pain. Primary symptoms: Severe, crushing chest pain radiating to the left arm and jaw, shortness of breath, nausea, diaphoresis. Patient is conscious and anxious. Skin pale and clammy. Patient sitting on the edge of his bed. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 500mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient began experiencing mild chest discomfort 1445 hours: Chest pain intensified, radiating to left arm and jaw 1450 hours: Patient developed shortness of breath and nausea 1455 hours: Patient called his wife for help 1500 hours: Wife called emergency services 1502 hours: Current time, patient is still experiencing severe chest pain Prior Events: Patient has a history of stable angina, last episode 6 months ago. No recent hospitalizations. Last medical check-up 2 months ago, routine follow-up. Patient lives with his wife.
Initial Impression: Suspected Acute Coronary Syndrome - Non-STEMI Justification for F2 Classification: - Severe chest pain with radiation, shortness of breath, diaphoresis strongly suggestive of ACS. - Potential for rapid deterioration to a life-threatening condition. - Time-sensitive condition requiring prompt medical evaluation, ECG, and treatment. Differential Diagnoses: 1. Non-ST-Elevation Myocardial Infarction (NSTEMI) (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no tearing pain reported) 4. Pulmonary Embolism (less likely, no specific risk factors reported) 5. Musculoskeletal chest pain (less likely given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - Pain management protocols initiation - Cardiac monitoring and 12-lead ECG - Preparation for transport to nearest hospital with cardiac services