Hafnarbraut 12, 780 Höfn, ground floor apartment 1B. Two-story wooden residential building constructed in 1955. Main entrance with a small step. Street parking available. Building equipped with basic fire alarm. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 64.2503° N, 15.2078° W. Nearest landmark: Höfn Harbour.
65-year-old male, experiencing chest pain. Primary symptoms: severe, crushing chest pain radiating to the left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: nausea, dizziness. Patient is alert but anxious. Skin pale and clammy. Patient is sitting on a chair in his living room. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient started experiencing mild chest discomfort while watching TV 1445 hours: Chest pain intensified, radiating to left arm and jaw, patient became short of breath 1450 hours: Patient developed nausea and dizziness, started sweating profusely 1455 hours: Patient called emergency services 1457 hours: Current time, patient sitting, still experiencing chest pain Prior Events: Patient reports occasional episodes of mild chest discomfort over the past month, attributed to indigestion. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient lives alone.
Initial Impression: Suspected Acute Coronary Syndrome - Non-ST Elevation Myocardial Infarction (NSTEMI) Justification for F2 Classification: - Classic symptoms of ACS, including chest pain radiating to the left arm and jaw, shortness of breath, and diaphoresis. - High risk factors: hypertension, hyperlipidemia, type 2 diabetes. - Time-sensitive condition requiring prompt medical evaluation and intervention. - Potential for progression to a life-threatening event. Differential Diagnoses: 1. NSTEMI (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely given lack of tearing pain) 4. Pulmonary Embolism (less likely given lack of pleuritic pain) 5. Musculoskeletal Chest Pain (less likely given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities. - Initiate cardiac monitoring and oxygen therapy. - Prepare for potential administration of aspirin and nitroglycerin if appropriate. - Rapid transport to nearest hospital with cardiac catheterization capabilities.