Hafnarstræti 23, 600 Akureyri. Third floor apartment 3B. Five-story concrete residential building constructed in 1992. Main entrance requires key or intercom. One elevator and a central stairwell. Street parking available. Building equipped with a fire alarm system. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6821° N, 18.0927° 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. Secondary symptoms: Nausea, dizziness. Patient is conscious but anxious. Skin is pale and clammy. Patient sitting on a chair in his living room. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient started experiencing mild chest discomfort 1445 hours: Chest pain intensified, radiating to left arm and jaw, shortness of breath began 1450 hours: Patient became diaphoretic and nauseous 1452 hours: Patient called his son for help 1455 hours: Son arrived, called emergency services 1458 hours: Current time, patient is sitting in a chair, pale, and anxious Prior Events: Patient reports several episodes of mild chest discomfort in the past few weeks, which he attributed to indigestion. Last medical check-up 6 months ago, routine follow-up. Patient lives alone but his son lives nearby.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a life-threatening cardiac event based on presenting symptoms - Severe chest pain radiating to left arm and jaw, 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 of pain and diaphoresis) 3. Pulmonary Embolism (lower probability, no reported leg pain or swelling) 4. Aortic Dissection (lower probability, no reported tearing pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Rapid ECG acquisition - Oxygen administration - Aspirin administration (if not already taken) - Preparation for transport to nearest hospital with cardiac catheterization lab