Heiðarvegur 15, 900 Vestmannaeyjar, second floor apartment 2B. Three-story concrete residential building constructed in 1985. Main entrance requires a key or intercom. One elevator and central stairwell. Street parking available. Building equipped with smoke detectors. Current conditions: 8°C, overcast, moderate visibility. GPS coordinates: 63.4409° N, 20.2701° W. Nearest landmark: Vestmannaeyjar Hospital.
65-year-old male, experiencing chest pain. Primary symptoms: Severe chest pain described as pressure, radiating to the left arm and jaw, shortness of breath, nausea, diaphoresis. Patient reports feeling very anxious. Skin pale and clammy. Patient is sitting upright on a chair in his living room. Medical history: Hypertension, hypercholesterolemia, previous smoker. Medications: Amlodipine 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1330 hours: Patient began experiencing mild chest discomfort 1345 hours: Chest pain intensified, radiating to left arm and jaw 1350 hours: Patient developed shortness of breath, nausea, and sweating 1355 hours: Patient called his wife for help 1400 hours: Wife arrived and called emergency services 1402 hours: Current time, patient still experiencing severe chest pain Prior Events: Patient reports occasional episodes of mild chest discomfort over the past few months, attributing it to indigestion. No prior hospitalizations for cardiac issues. Last medical check-up 6 months ago, routine follow-up. Patient lives with his wife.
Initial Impression: Suspected Acute Coronary Syndrome - Non-STEMI Justification for F2 Classification: - High probability of cardiac event based on symptoms (chest pain, radiation, shortness of breath) - Potential for life-threatening condition requiring urgent medical intervention - Time-sensitive condition requiring rapid assessment and treatment Differential Diagnoses: 1. Acute Coronary Syndrome (Non-STEMI) (high probability) 2. Angina Pectoris (less likely given severity of pain) 3. Aortic Dissection (less likely given absence of tearing pain) 4. Pulmonary Embolism (less likely given absence of pleuritic pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen therapy initiation - Pain management protocols initiation - Preparation for transport to nearest hospital with cardiac services