Hafnarstræti 96, 600 Akureyri. Ground floor of a three-story commercial building. Main entrance is street-level with a single glass door. No elevator access. Street parking available. Building constructed in 1995. Current conditions: 7°C, overcast, light wind. GPS coordinates: 65.6810° N, 18.0895° W. Nearest landmark: Hof Cultural and Conference Center.
58-year-old male, experiencing severe, crushing chest pain. Primary symptoms: Severe chest pain radiating to left arm and jaw, shortness of breath, diaphoresis. Patient is pale and anxious. Secondary symptoms: Nausea, dizziness. Patient is sitting on a chair in his office. Medical history: Hypertension, hyperlipidemia, smoker. Medications: Amlodipine 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1330 hours: Patient experienced sudden onset of severe chest pain while working at his desk. 1331 hours: Pain intensified, radiating to left arm and jaw. Patient became short of breath and diaphoretic. 1332 hours: Patient called his colleague for help, who then initiated the emergency call. 1334 hours: Current time, patient is still experiencing severe chest pain, pale and anxious. Prior Events: Patient has a history of hypertension and hyperlipidemia. Smokes 1 pack of cigarettes per day. Has had occasional mild chest discomfort in the past, which he attributed to indigestion. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient was at work.
Initial Impression: Suspected ST-Elevation Myocardial Infarction (STEMI) Justification for F1 Classification: - High probability of acute coronary syndrome based on classic symptoms: severe chest pain, radiation, shortness of breath, diaphoresis - Time-sensitive condition requiring immediate intervention to prevent myocardial damage and death - Symptoms align with potential STEMI, requiring immediate ECG and cardiac intervention Differential Diagnoses: 1. STEMI (high probability) 2. Unstable Angina (less likely given severity and duration of symptoms) 3. Aortic Dissection (less likely given no tearing pain or significant pulse deficits) 4. Pulmonary Embolism (less likely given primary symptom of chest pain) 5. Pericarditis (less likely given typical features of pain) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities - Pre-hospital ECG acquisition and interpretation - Early hospital notification with STEMI alert activation - Preparation for potential cardiac arrest and advanced life support