Hafnarstræti 23, 600 Akureyri. Second floor office suite within a 3-story commercial building built in 1965, with a mix of retail and office spaces. Main entrance is on the street level, with a secondary entrance at the rear for staff. Elevator access available. No known security codes. Weather conditions: 8°C, overcast, light breeze. GPS coordinates: 65.6811° N, 18.0887° W. Nearest landmark: The Cultural Centre Hof.
51-year-old male experiencing severe chest pain, described as crushing and radiating to his left arm and jaw. Patient is diaphoretic and reports shortness of breath. Patient is conscious but appears anxious. Initial vital signs reported by caller: rapid breathing, pale skin, and profuse sweating. Patient is at work in his office, sitting in a chair. Medical history: Reports a previous episode of high cholesterol, no other significant history. Medications: Atorvastatin 20mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1315 hours: Patient reports sudden onset of severe chest pain while working at his desk. 1316 hours: Pain radiates to his left arm and jaw, accompanied by shortness of breath. 1317 hours: Patient becomes diaphoretic and feels dizzy. 1318 hours: Patient asks his colleague to call emergency services. 1320 hours: Current time, patient is sitting in his chair, conscious but distressed. Prior Events: Patient reports no recent illnesses or injuries. Last medical check-up was 6 months ago, routine follow-up. Reports occasional mild chest discomfort in the past, but nothing like this. Patient has a family history of heart disease (father had a heart attack at age 60).
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a cardiac event based on classic symptoms (chest pain radiating to arm and jaw, diaphoresis, shortness of breath) - Time-sensitive condition requiring rapid medical intervention to minimize myocardial damage - Patient reports significant symptoms suggestive of a severe cardiac event Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and radiation of pain) 3. Aortic Dissection (less likely, no mention of tearing pain) 4. Pulmonary Embolism (less likely, no specific risk factors mentioned) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate administration of oxygen - ECG monitoring and 12-lead acquisition - Preparation for transport to nearest hospital with cardiac services