Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. A five-story concrete building built in 1995. Main entrance has a coded lock (code 2468). Elevator and central staircase available. Street parking, limited. Building equipped with smoke detectors and fire alarms. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6835° N, 18.0889° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Patient is pale and anxious. Medical history: Hypertension, hyperlipidemia, previous angina. Medications: Amlodipine 10mg daily, Atorvastatin 20mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient experienced mild chest discomfort while watching TV 1415 hours: Chest pain intensified, radiating to left arm, shortness of breath started 1420 hours: Patient became diaphoretic, felt lightheaded, called emergency services 1422 hours: Current time, patient is still experiencing severe chest pain, sitting in a chair, awaiting help Prior Events: Patient had angina episodes in the past, managed with medication. No recent hospitalizations. Last medical check-up 6 months ago, routine follow-up. Patient lives with his wife, who is also present and assisting.
Initial Impression: Suspected Acute ST-Elevation Myocardial Infarction (STEMI) Justification for F1 Classification: - Classic presentation of STEMI: severe crushing chest pain, radiation to left arm, diaphoresis, shortness of breath. - Time-critical emergency requiring immediate intervention to limit myocardial damage. - High risk of sudden cardiac arrest. Differential Diagnoses: 1. 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 specific risk factors reported) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities - Pre-arrival instructions for aspirin administration (if not already taken) - Early hospital notification for activation of cardiac catheterization lab - Continuous ECG monitoring and assessment of vital signs