Hafnarstræti 23, 600 Akureyri, ground floor of a two-story wooden building constructed in 1952. Main entrance is street-level with no steps. One secondary entrance at the rear with a small ramp. No elevators. Street parking available. Building has a basic fire alarm system. Current conditions: 7°C, overcast, light breeze. GPS coordinates: 65.6835° N, 18.0901° W. Nearest landmark: Akureyri Art Museum.
62-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious and anxious. Skin is pale and clammy. Patient is sitting on a chair in his office. Medical history: Hypertension diagnosed 5 years ago, hypercholesterolemia, family history of heart disease. Medications: Lisinopril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient reports sudden onset of severe chest pain while at his desk. 1416 hours: Patient reports pain radiating to left arm and jaw, shortness of breath. 1417 hours: Patient becomes diaphoretic and nauseous. 1418 hours: Patient calls emergency services. 1420 hours: Current time, patient still experiencing chest pain, sitting in office chair. Prior Events: Patient reports occasional mild chest discomfort over the past few months, dismissed as indigestion. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient is a non-smoker, occasional alcohol use.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of AMI based on classic presentation of chest pain, radiation, and associated symptoms - Potential for life-threatening cardiac event - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and acute onset) 3. Aortic Dissection (lower probability, no reported tearing pain) 4. Pulmonary Embolism (less likely given no risk factors and acute presentation) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG acquisition and interpretation - Oxygen administration and pain management protocols initiation - Preparation for transport to nearest hospital with cardiac catheterization services