Hafnarstræti 98, 600 Akureyri. Third floor apartment 3B. Five-story concrete building built in 1995. Main entrance with key code access. Elevator and central stairwell. Street parking available. Building equipped with a sprinkler system. Current conditions: 7°C, overcast, light wind. GPS coordinates: 65.6825° N, 18.0890° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm, shortness of breath, diaphoresis, nausea. Patient reports sudden onset of symptoms. Secondary symptoms: Lightheadedness, anxiety. Patient is conscious but distressed. Skin is pale and clammy. Patient is sitting on the couch in his living room. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 40mg daily, Lisinopril 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient began experiencing mild chest discomfort while watching TV. 1435 hours: Chest pain intensified rapidly, radiating to the left arm, accompanied by shortness of breath and sweating. 1437 hours: Patient experienced nausea and lightheadedness. Called emergency services. 1439 hours: Current time, patient still experiencing severe chest pain. Prior Events: Patient has a history of hypertension, hyperlipidemia, and type 2 diabetes. Last check-up was 6 months ago, routine follow-up. No recent illnesses or injuries. No prior history of heart attack. Patient is a former smoker, quit 10 years ago. Patient lives alone.
Initial Impression: Suspected Acute ST-Elevation Myocardial Infarction (STEMI) Justification for F1 Classification: - Classic presentation of STEMI: severe, crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. - Time-critical condition requiring immediate intervention to prevent irreversible myocardial damage. - High risk of cardiac arrest. Differential Diagnoses: 1. Acute STEMI (high probability) 2. Unstable Angina (less likely given severity and radiation of pain) 3. Aortic Dissection (less likely, no tearing pain reported) 4. Pulmonary Embolism (less likely, no pleuritic pain or sudden onset of dyspnea) Required Actions: - Dispatch of ground EMS with ALS capabilities and ECG monitoring. - Early notification to the receiving hospital of suspected STEMI. - Initiation of oxygen therapy and cardiac monitoring. - Preparation for possible defibrillation.