Hafnarstræti 18, 600 Akureyri, ground floor of the commercial building. The building is a two-story structure built in 1965, with large storefront windows facing the street. Main entrance is at street level, no steps. No security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6822° N, 18.0917° W. Nearest landmark: Akureyri Art Museum.
55-year-old male, experiencing sudden onset of severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious but anxious. Skin pale and clammy. Patient is sitting in a chair in his office. Medical history: Hypertension, hyperlipidemia, family history of heart disease. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1330 hours: Patient reports feeling sudden chest discomfort 1332 hours: Pain intensifies, radiating to the left arm 1333 hours: Patient experiences shortness of breath and diaphoresis 1335 hours: Patient calls emergency services 1337 hours: Current time, patient still experiencing severe chest pain Prior Events: Patient has had occasional episodes of mild chest discomfort in the past, which he attributed to indigestion. No prior cardiac events. Last medical check-up 6 months ago, routine follow-up. Patient reports increased stress at work recently.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of cardiac event based on classic symptoms (chest pain, radiation, shortness of breath, diaphoresis) - Time-sensitive condition requiring immediate intervention to reduce myocardial damage - Patient at risk for hemodynamic instability Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity of pain and diaphoresis) 3. Aortic Dissection (less likely given absence of tearing pain) 4. Pulmonary Embolism (less likely given lack of pleuritic chest pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG acquisition and interpretation - Administration of oxygen - Preparation for transport to nearest hospital with cardiac catheterization lab