Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building. Built in 1950, recently renovated. Main entrance is street-level, no steps. Rear access via a small alleyway. No security system, door unlocked during business hours. Current conditions: 8°C, overcast, light wind. GPS coordinates: 65.6825° N, 18.0920° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: crushing chest pain radiating to the left arm and jaw, shortness of breath, diaphoresis. Patient is conscious but appears pale and anxious. Secondary symptoms: nausea, dizziness. Patient sitting in a chair in his office. Medical history: Hypertension, hyperlipidemia, family history of heart disease. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient began experiencing mild chest discomfort 1420 hours: Chest pain intensified, radiating to the left arm and jaw 1422 hours: Patient became short of breath and diaphoretic 1425 hours: Patient called his son for help, who then called emergency services 1428 hours: Current time, patient still experiencing severe chest pain Prior Events: Patient reports occasional mild chest discomfort during exertion, never this severe. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient works in a sedentary job, but walks regularly for exercise.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of acute cardiac event based on classic symptoms - Severe chest pain, radiating pain, diaphoresis, shortness of breath - 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 symptoms) 3. Aortic Dissection (less likely, no back pain) 4. Pulmonary Embolism (less likely, no pleuritic chest pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Initiate cardiac monitoring and oxygen therapy - Administer aspirin (if not already taken) and prepare for nitroglycerin administration - Prepare for transport to nearest hospital with cardiac catheterization capabilities