Hafnarstræti 21, 600 Akureyri, first floor, apartment 103. Three-story concrete building, built in 1965, with a single main entrance. No elevator, access via central staircase. Street parking available. No specific security features. Current conditions: 8°C, overcast, light wind. GPS coordinates: 65.6819° N, 18.0892° 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. Secondary symptoms: Nausea, dizziness. Patient alert but anxious. Skin pale and clammy. Patient is sitting on a chair in the living room. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient started experiencing mild chest discomfort. 1420 hours: Chest pain intensified, radiating to left arm, accompanied by shortness of breath. 1425 hours: Patient became diaphoretic and nauseous. 1428 hours: Patient called emergency services. 1430 hours: Current time, patient is still experiencing severe chest pain and shortness of breath. Prior Events: Patient reports occasional mild chest discomfort for the past month, attributed to indigestion. No prior history of heart attack. Last medical check-up 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a cardiac event based on symptom presentation (chest pain, radiation, diaphoresis, shortness of breath) - Time-sensitive condition requiring prompt medical intervention to minimize myocardial damage - Patient is stable but at high risk of deterioration Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and associated symptoms) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no sudden onset of dyspnea without chest pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Initiate oxygen therapy - Obtain ECG if possible - Prepare for rapid transport to nearest hospital with cardiac catheterization capabilities