Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building, built in 1950. Main entrance at street level, no steps. No elevator. Street parking available. Building has a basic fire alarm system. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6822° N, 18.0921° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing sudden onset chest pain. Primary symptoms: Severe, crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis, nausea. Patient reports feeling lightheaded and anxious. Secondary symptoms: Pale skin, clammy to the touch. Patient is conscious but distressed. Medical history: Hypertension, type 2 diabetes, hyperlipidemia. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 40mg daily, Aspirin 75mg daily. Known allergy to penicillin. Last meal was a sandwich at 12:00.
Timeline: 1330 hours: Patient experienced sudden onset of chest pain while sitting at his desk. 1332 hours: Pain intensified, patient became diaphoretic and short of breath. 1335 hours: Patient attempted to take antacids, no relief. 1337 hours: Patient called his son, who then called emergency services. 1340 hours: Current time, patient is still experiencing chest pain and difficulty breathing. Prior Events: Patient has a history of stable angina, but this pain is different, more severe, and not relieved by rest. No recent hospitalizations or surgeries. 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 symptoms and risk factors - Severe chest pain, radiating pain, diaphoresis, and shortness of breath - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely, but needs evaluation) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no recent immobilization or surgery) 5. Musculoskeletal Chest Pain (less likely, given severity and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Aspirin administration (if not already taken) - Pain management protocols initiation - Preparation for transport to nearest hospital with cardiac catheterization lab