Hafnargata 14, 735 Norðfjörður. Single-story wooden residential building, built in 1965. Main entrance is accessible via a small ramp. No security features. Street parking available. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2045° N, 13.9956° W. Nearest landmark: Norðfjörður Harbour.
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 pale and anxious. Secondary symptoms: Lightheadedness. Patient is conscious and able to speak but is clearly distressed. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light dinner at 19:00.
Timeline: 2100 hours: Patient began experiencing mild chest discomfort 2115 hours: Chest pain increased in intensity, radiating to left arm 2120 hours: Patient became short of breath, started sweating 2125 hours: Patient called his son for help, who then called emergency services 2130 hours: Current time, patient is still experiencing severe chest pain Prior Events: Patient has had previous episodes of chest discomfort in the past year, but never this severe. Last medical check-up 6 months ago, routine follow-up. Patient lives with his wife, who is currently out of town. He has no prior history of heart attacks.
Initial Impression: Suspected Acute Coronary Syndrome - Non STEMI Justification for F2 Classification: - High probability of cardiac event based on classic symptoms: severe chest pain, radiation to left arm, shortness of breath, diaphoresis - Patient has multiple risk factors for cardiac disease (hypertension, hyperlipidemia, diabetes) - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Acute Myocardial Infarction (Non-STEMI) (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (lower probability, no reported tearing pain) 4. Pulmonary Embolism (lower probability, no reported pleuritic pain) 5. Musculoskeletal Chest Pain (less likely given severity and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring initiation - Oxygen administration - Preparation for transport to nearest hospital with cardiac services