Hafnarstræti 18, 600 Akureyri. Ground floor of a two-story wooden building, built in 1925, with a single main entrance facing the street. No elevator. Street parking available. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6822° N, 18.0913° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing sudden onset of severe chest pain. Primary symptoms: Crushing 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 living room. Medical history: Hypertension, type 2 diabetes, hyperlipidemia. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient reports sudden onset of chest pain while watching TV. 1416 hours: Pain intensifies, radiating to left arm and jaw. Patient becomes diaphoretic and short of breath. 1417 hours: Patient attempts to take his prescribed nitroglycerin, but the pain does not subside. 1418 hours: Patient calls his son for help. 1420 hours: Son arrives and calls emergency services. 1422 hours: Current time, patient still sitting on chair, pale and distressed. Prior Events: Patient reports no recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient has a history of smoking, quit 5 years ago. No previous cardiac events.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - Classic symptoms of AMI: crushing chest pain, radiation, diaphoresis, shortness of breath - High risk factors: age, history of hypertension, diabetes, hyperlipidemia - Time-sensitive condition requiring immediate medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and duration of pain) 3. Aortic Dissection (less likely given no reported tearing pain) 4. Pulmonary Embolism (less likely given lack of pleuritic pain and risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG acquisition and interpretation - Administration of aspirin if no contraindications - Preparation for transport to nearest hospital with cardiac catheterization services