Hafnarstræti 91, 600 Akureyri. Second floor of a three-story commercial building, built in 1968, with a mix of retail and office spaces. Main entrance on Hafnarstræti, with a secondary entrance from the back alley, both accessible via stairs. No elevator available. Street parking is available in front of the building. Building is equipped with a basic fire alarm system. Current weather: 7°C, overcast, light wind. GPS coordinates: 65.6828° N, 18.0915° W. Nearest landmark: Akureyri Art Museum.
58-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Secondary symptoms: Nausea, lightheadedness. Patient is pale and anxious. Patient sitting on a chair in his office. Medical history: Hypertension, hyperlipidemia, family history of heart disease. Medications: Amlodipine 10mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 14:15 hours: Patient started experiencing mild chest discomfort 14:20 hours: Chest pain intensified, radiating to left arm, associated with shortness of breath 14:22 hours: Patient became diaphoretic and nauseous 14:25 hours: Patient called emergency services 14:26 hours: Current time, patient still experiencing severe chest pain. Prior Events: Patient reports occasional mild chest discomfort in the past, attributed to indigestion. No prior hospitalizations for cardiac issues. Last medical check-up 6 months ago, routine follow-up. Patient has been under increased stress at work recently.
Initial Impression: Suspected Acute ST-Elevation Myocardial Infarction (STEMI) Justification for F1 Classification: - Severe, crushing chest pain radiating to left arm, associated with shortness of breath and diaphoresis - High probability of life-threatening cardiac event requiring immediate intervention - Time-critical condition with potential for rapid deterioration Differential Diagnoses: 1. Acute STEMI (high probability) 2. Unstable Angina (less likely given severity of pain and associated symptoms) 3. Aortic Dissection (less likely, no reported tearing pain) 4. Pulmonary Embolism (less likely, no reported pleuritic pain or hemoptysis) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities - Pre-arrival instructions for patient to chew aspirin if available - Early notification of the nearest hospital with PCI capabilities - Preparation for rapid transport and cardiac monitoring