Hafnarbraut 11, 780 Höfn, ground floor apartment 1B. Two-story wooden residential building built in 1965. Main entrance requires key or intercom. No elevator, only central stairwell. Street parking available. Building equipped with smoke detectors. Current conditions: 8°C, overcast, moderate visibility. GPS coordinates: 64.2529° N, 15.2087° W. Nearest landmark: Höfn Harbour.
60-year-old male, experiencing chest pain. Primary symptoms: Substernal chest pain described as pressure, radiating to left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, mild dizziness. Patient alert but anxious. Skin pale and clammy. Patient sitting on a chair in his living room. Medical history: Hypertension diagnosed 5 years ago, hyperlipidemia. Medications: Amlodipine 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1300 hours: Patient began experiencing mild chest discomfort 1315 hours: Chest pain increased in intensity, radiating to left arm and jaw, shortness of breath began 1320 hours: Patient became diaphoretic, nausea started 1325 hours: Patient called emergency services 1327 hours: Current time, patient still experiencing symptoms Prior Events: Patient reports experiencing similar but less severe chest pain episodes in the past month, attributing it to indigestion. Last medical check-up 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Suspected Acute Coronary Syndrome - Non-STEMI Justification for F2 Classification: - Presence of chest pain with radiation, shortness of breath, diaphoresis, and nausea indicates high probability of cardiac event - Time-sensitive condition requiring prompt medical evaluation and intervention to prevent progression to STEMI or other complications - Symptoms consistent with acute coronary syndrome, but not clear STEMI Differential Diagnoses: 1. Non-ST Elevation Myocardial Infarction (NSTEMI) (high probability) 2. Unstable Angina (high probability) 3. Stable Angina (less likely given recent onset and severity) 4. Aortic Dissection (less likely given no back pain or tearing sensation) 5. Pulmonary Embolism (less likely given no pleuritic pain or sudden onset) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG acquisition as soon as possible - Oxygen administration - Aspirin administration - Preparation for transport to nearest hospital with cardiac services