Hafnarstræti 21, 600 Akureyri, ground floor of a two-story wooden building built in 1955. Main entrance is on the street level, no stairs. Building has a fire alarm system. Street parking available. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6810° N, 18.0903° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Secondary symptoms: nausea, dizziness. Patient is pale and anxious. Patient is sitting on 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 sandwich at 12:00.
Timeline: 1315 hours: Patient began experiencing mild chest discomfort. 1320 hours: Chest pain increased in severity, radiating to left arm, shortness of breath started. 1325 hours: Patient became diaphoretic and nauseous. 1328 hours: Patient called emergency services. 1330 hours: Current time, patient is still experiencing severe chest pain. Prior Events: Patient reports occasional mild chest discomfort in the past few months, attributed to indigestion. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient works in an office on the ground floor.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a serious cardiac event based on symptoms and risk factors - Chest pain radiating to left arm, shortness of breath, diaphoresis - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and duration) 3. Aortic Dissection (less likely, no tearing pain reported) 4. Pulmonary Embolism (less likely, no sudden onset of dyspnea) 5. Musculoskeletal Chest Pain (less likely given radiation and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Aspirin administration if not already taken - Preparation for transport to nearest hospital with cardiac catheterization capabilities