Hamarstígur 7, 900 Vestmannaeyjar, second floor apartment. Three-story concrete residential building built in 1968. Main entrance with a code lock, code is 1234. One stairwell, no elevator. Street parking available. Building has a basic fire alarm system. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 63.4416° N, 20.2719° W. Nearest landmark: Landakirkja church.
65-year-old male, experiencing chest pain. Primary symptoms: Severe chest pain described as pressure, radiating to left arm and jaw. Secondary symptoms: Shortness of breath, sweating, nausea. Patient is conscious and alert but anxious. Skin is pale and clammy. Patient is sitting on a chair in the living room. Medical history: Hypertension diagnosed 5 years ago, hypercholesterolemia. Medications: Amlodipine 10mg daily, Atorvastatin 20mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient started experiencing mild chest discomfort 1445 hours: Chest pain intensified, radiating to left arm and jaw 1450 hours: Patient began to sweat and feel nauseous 1455 hours: Patient called his wife for help 1500 hours: Wife arrived, called emergency services 1502 hours: Current time, patient is sitting in a chair, still experiencing chest pain Prior Events: Patient reports occasional episodes of mild chest discomfort in the past, attributed 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 chest pain characteristics and associated symptoms - Potential for life-threatening complications (e.g., arrhythmia, myocardial infarction) - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Non-ST-Elevation Myocardial Infarction (NSTEMI) (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely given presentation) 4. Pulmonary Embolism (less likely given symptoms) 5. Esophageal Spasm (less likely given severity of symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Administration of oxygen and aspirin if not already taken - Preparation for transport to nearest hospital with cardiology services