Hafnargata 17, 735 Norðfjörður, first floor apartment 101. Two-story wooden residential building built in 1968. Main entrance is at street level with no steps. Apartment is located on the ground floor with direct access from the main entrance. No elevator. Street parking available. Building has no security features. Current conditions: 7°C, overcast, light wind, good visibility. GPS coordinates: 65.2029° N, 14.0189° W. Nearest landmark: Norðfjörður harbor.
65-year-old male, experiencing chest pain. Primary symptoms: Retrosternal chest pain, described as pressure, radiating to the left arm and jaw. Secondary symptoms: Shortness of breath, diaphoresis, nausea. Patient is conscious and alert but anxious. Skin is pale and clammy. Patient is sitting on a chair in his living room. Medical history: Hypertension, hyperlipidemia, family history of heart disease. Medications: Amlodipine 10mg daily, Atorvastatin 20mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient started experiencing mild chest discomfort 1415 hours: Chest pain increased in intensity and started radiating to the left arm and jaw 1420 hours: Patient developed shortness of breath and diaphoresis 1425 hours: Patient called his wife for help 1430 hours: Wife called emergency services 1432 hours: Current time, patient is still experiencing chest pain Prior Events: Patient had a similar episode of chest pain 6 months ago, which resolved spontaneously. No prior diagnosis of heart disease. Last medical check-up was 1 year ago, routine follow-up. Patient lives with his wife.
Initial Impression: Suspected Acute Coronary Syndrome - Non-STEMI Justification for F2 Classification: - Presence of chest pain, shortness of breath, and diaphoresis, suggesting a cardiac event - Radiating pain and associated symptoms indicate a moderate risk of myocardial ischemia - 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) 3. Aortic Dissection (lower probability, no tearing pain) 4. Pulmonary Embolism (lower probability, no hemoptysis) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration if needed - Aspirin administration if not already taken - Preparation for transport to nearest hospital with cardiac services