Heiðarvegur 18, 900 Vestmannaeyjar, ground floor apartment. Single-story residential building constructed in 1965. Main entrance has no security features. Street parking available. Building has no fire alarm system. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 63.4402° N, 20.2730° W. Nearest landmark: Vestmannaeyjar Hospital.
65-year-old male, experiencing chest pain. Primary symptoms: Central chest pain, described as pressure, radiating to the left arm. Secondary symptoms: Shortness of breath, nausea, sweating. Patient is pale and anxious. Patient is sitting on a chair in his living room. Medical history: Hypertension, hypercholesterolemia, 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: 1430 hours: Patient began experiencing chest pain while watching television. 1435 hours: Pain increased in intensity and began radiating to the left arm. 1440 hours: Patient became short of breath and nauseous. 1445 hours: Patient called his wife for help. 1450 hours: Wife called emergency services. 1452 hours: Current time, patient is still sitting, pale and anxious. Prior Events: Patient reports experiencing mild chest discomfort on exertion for the past few weeks. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient has a sedentary lifestyle and is a smoker.
Initial Impression: Suspected Acute Coronary Syndrome - Non STEMI Justification for F2 Classification: - High probability of cardiac event based on chest pain characteristics, radiation, and associated symptoms - Patient has multiple risk factors for coronary artery disease (hypertension, hypercholesterolemia, family history, smoking) - Time-sensitive condition requiring prompt medical evaluation and treatment Differential Diagnoses: 1. Acute Myocardial Infarction (Non-STEMI) (high probability) 2. Unstable Angina (possible) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no pleuritic pain or hemoptysis) 5. Musculoskeletal Chest Pain (less likely given the nature and radiation of pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Administration of oxygen and aspirin - Preparation for transport to nearest hospital with cardiac services