Hafnarstræti 21, 600 Akureyri, ground floor of a two-story wooden building built in 1955. Main entrance is on the street level, no steps. No elevator. Street parking available. No security features. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6825° N, 18.0887° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain, radiating to left arm and jaw. Secondary symptoms: Shortness of breath, sweating, nausea. Patient is pale and anxious. Patient is sitting on a chair in his office. Medical history: Hypertension, hyperlipidemia, family history of heart disease. Medications: Atorvastatin 20mg daily, Lisinopril 10mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 14:15 hours: Patient started feeling mild discomfort in chest. 14:20 hours: Pain intensified, became crushing, radiating to left arm and jaw. Patient became diaphoretic and short of breath. 14:25 hours: Patient called his son for help. 14:28 hours: Son arrived, called emergency services. 14:30 hours: Current time, patient still in chair, pale and distressed. Prior Events: Patient had a routine check-up 6 months ago, blood pressure was slightly elevated. No recent illnesses or injuries. Patient has been under moderate stress at work recently. Patient has a history of smoking but quit 5 years ago.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptoms - Severe chest pain with radiation, shortness of breath, diaphoresis - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and onset) 3. Aortic Dissection (less likely given no tearing pain) 4. Pulmonary Embolism (less likely given lack of risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - Cardiac monitoring - Preparation for transport to nearest hospital with cardiac catheterization lab