Hafnarstræti 91, 600 Akureyri, third floor apartment 3B. Five-story concrete and steel building, built in 2005. Main entrance with a coded lock (code is 1234). Elevator and central stairwell access. Street parking with limited availability. Building has a sprinkler system. Current conditions: 7°C, overcast, moderate wind. GPS coordinates: 65.6832° N, 18.0935° W. Nearest landmark: Hof Cultural and Conference Center.
68-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis. Patient is pale and appears anxious. Secondary symptoms: Nausea, dizziness. Patient is conscious but agitated. Medical history: Hypertension, hyperlipidemia, previous myocardial infarction (5 years ago). Medications: Aspirin 75mg daily, Atorvastatin 20mg daily, Lisinopril 10mg daily, Metoprolol 50mg twice daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 14:15 hours: Patient began experiencing mild chest discomfort 14:20 hours: Pain increased in intensity, radiating to left arm and jaw 14:25 hours: Patient became short of breath and diaphoretic 14:28 hours: Patient called emergency services 14:30 hours: Current time, patient is still experiencing severe chest pain Prior Events: Patient had a routine check-up 6 months ago, no significant changes noted. Patient reported occasional mild chest discomfort with exertion but did not seek medical attention. No recent illnesses or injuries. Patient lives alone.
Initial Impression: Suspected Acute ST-Elevation Myocardial Infarction (STEMI) Justification for F1 Classification: - Classic presentation of STEMI with severe chest pain, radiation, shortness of breath, and diaphoresis - Known history of previous MI and cardiovascular risk factors - Time-critical condition requiring immediate intervention to minimize myocardial damage Differential Diagnoses: 1. Acute Coronary Syndrome (ACS) - STEMI (high probability) 2. Acute Coronary Syndrome (ACS) - Unstable Angina (less likely given severity and radiation) 3. Aortic Dissection (less likely given no tearing pain) 4. Pulmonary Embolism (less likely given absence of pleuritic pain) Required Actions: - Immediate dispatch of ALS ambulance with pre-hospital ECG capability - Early notification of hospital cardiac catheterization lab - Administration of aspirin and oxygen as per protocol - Rapid transport to hospital with PCI capability