Hafnarstræti 22, 600 Akureyri. Ground floor apartment in a two-story concrete building built in 1965. Main entrance has a single door with a basic lock. No elevator, access via a short ramp. Street parking available. Building has smoke detectors. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.6828° N, 18.0872° W. Nearest landmark: Akureyri Art Museum.
55-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is pale and anxious. Patient is sitting on a chair in his living room. Medical history: Hypertension, hyperlipidemia. Medications: Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 14:10 hours: Patient began experiencing mild chest discomfort. 14:15 hours: Chest pain intensified, radiating to left arm, accompanied by shortness of breath. 14:17 hours: Patient became diaphoretic, experienced nausea and dizziness. 14:18 hours: Patient called emergency services. 14:20 hours: Current time, patient is sitting, pale and anxious. Prior Events: Patient has a history of hypertension and hyperlipidemia, managed with medications. Patient reported no recent illnesses or injuries. Last medical check-up was 6 months ago for routine blood work. Patient is a smoker, approximately 1 pack per day for 30 years.
Initial Impression: Suspected ST-Elevation Myocardial Infarction (STEMI) Justification for F1 Classification: - Classic symptoms of acute myocardial infarction: crushing chest pain, radiation to left arm, diaphoresis, shortness of breath, nausea - Time-critical condition requiring immediate intervention to prevent irreversible myocardial damage - High risk of sudden cardiac arrest Differential Diagnoses: 1. STEMI (high probability) 2. Unstable Angina (less likely given severity of symptoms) 3. Aortic Dissection (less likely given lack of tearing pain and no significant blood pressure difference between arms) 4. Pulmonary Embolism (less likely given lack of pleuritic pain and specific risk factors) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities - Pre-arrival instructions: Aspirin administration if not contraindicated - Early notification of receiving hospital for cardiac catheterization lab activation - Continuous monitoring and vital sign assessment