Hafnarstræti 23, 600 Akureyri, first floor of a two-story commercial building. Main entrance is street-level with a single glass door. Building is concrete, built in 1990. No elevator. Street parking available. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6825° N, 18.0890° W. Nearest landmark: Akureyri Art Museum.
67-year-old male, experiencing sudden onset of severe chest pain. Primary symptoms: crushing chest pain radiating to left arm, shortness of breath, sweating. Secondary symptoms: nausea, dizziness. Patient is conscious but appears anxious. Skin is pale and clammy. Patient is sitting in a chair in his office. Medical history: Hypertension, hypercholesterolemia, family history of heart disease. Medications: Lisinopril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1315 hours: Patient reports sudden onset of chest pain while working at his desk 1316 hours: Pain intensifies, patient becomes short of breath and sweaty 1317 hours: Patient experiences nausea and dizziness 1318 hours: Patient calls his colleague for help, colleague dials emergency services 1320 hours: Current time, patient is sitting in a chair, in distress Prior Events: Patient reports occasional mild chest discomfort in the past month, attributed to indigestion. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient works as an accountant, generally sedentary lifestyle.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of cardiac event based on symptoms and risk factors - Severe chest pain, shortness of breath, sweating, and radiating pain are highly suggestive of AMI - Time-sensitive condition requiring rapid intervention to minimize myocardial damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and onset) 3. Aortic Dissection (lower probability, no tearing pain) 4. Pulmonary Embolism (less likely, no sudden onset of breathlessness without pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration if available - ECG monitoring and interpretation - Preparation for transport to nearest hospital with cardiac catheterization capabilities