Hafnarstræti 22, 600 Akureyri, third floor apartment 3B. A three-story wooden building built in 1935. Main entrance has a coded lock, code is 1947. One narrow stairwell, no elevator. Street parking available. Building is equipped with smoke detectors. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6823° 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 and jaw, shortness of breath, diaphoresis. Patient reports feeling lightheaded and anxious. Secondary symptoms: Nausea, palpitations. Patient is conscious but appears distressed. Skin is pale and clammy. Patient is sitting on a chair in his living room. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 500mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. Allergies: Penicillin. Last meal was a sandwich at 11:00.
Timeline: 1215 hours: Patient began experiencing mild chest discomfort. 1220 hours: Chest pain increased in severity, began radiating to left arm and jaw. 1225 hours: Patient developed shortness of breath and diaphoresis. 1228 hours: Patient called emergency services. 1230 hours: Current time, patient remains symptomatic, awaiting assistance. Prior Events: Patient has a history of stable angina, managed with medication. No prior heart attacks. Recent medical check-up 2 months ago, routine follow-up. No recent changes in medication. Patient lives alone.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of life-threatening condition based on chest pain characteristics, radiation, and associated symptoms. - Time-sensitive condition requiring rapid intervention to minimize cardiac damage. - Patient at high risk due to multiple cardiac risk factors. Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely, but AMI more probable given severity) 3. Aortic Dissection (less likely given no tearing pain) 4. Pulmonary Embolism (less likely, no history of DVT/PE) Required Actions: - Dispatch of ground EMS with ALS capabilities, including ECG - Immediate initiation of oxygen therapy and cardiac monitoring - Preparation for transport to nearest hospital with cardiac catheterization capabilities - Early hospital notification and pre-arrival activation of cardiac team