Hafnarstræti 96, 600 Akureyri, second floor apartment 2B. Three-story brick building constructed in 1965. Main entrance requires key or intercom. One narrow stairwell. Street parking available. Building has basic fire safety equipment. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6832° N, 18.0927° W. Nearest landmark: Akureyri Art Museum.
62-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis. Patient appears pale and anxious. Secondary symptoms: Nausea, dizziness. Patient is conscious but agitated. Medical history: Hypertension, hyperlipidemia, previous angina. Medications: Amlodipine 10mg daily, Atorvastatin 40mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient began experiencing mild chest discomfort 1420 hours: Chest pain intensified, radiating to left arm and jaw 1422 hours: Patient developed shortness of breath and diaphoresis 1425 hours: Patient called emergency services 1427 hours: Current time, patient is still experiencing severe chest pain Prior Events: Patient has a history of angina, but this episode is described as much more severe. Last ECG 6 months ago showed stable angina. No recent illnesses or injuries. Last medical check-up 2 months ago, routine follow-up. Patient lives with his wife, who is also present.
Initial Impression: Suspected ST-Elevation Myocardial Infarction (STEMI) Justification for F1 Classification: - Classic presentation of acute myocardial infarction (AMI) with severe chest pain, radiation, diaphoresis, and shortness of breath. - Time-critical condition requiring immediate intervention to minimize myocardial damage and risk of cardiac arrest. - High probability of life-threatening arrhythmia or hemodynamic instability. Differential Diagnoses: 1. STEMI (high probability) 2. Unstable Angina (less likely given severity and radiation) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no pleuritic pain) Required Actions: - Immediate dispatch of ALS ambulance with pre-hospital ECG capabilities - Pre-notification of hospital emergency department for potential cardiac catheterization lab activation - Oxygen administration and monitoring, if available, by caller - Immediate transport to the nearest hospital with PCI capabilities