Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building, built in 1955. Main entrance is accessible from the street. No elevator, one internal staircase. Street parking available. Building has a basic security lock. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6837° N, 18.0896° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Patient reports feeling dizzy and nauseous. Patient is conscious but anxious. Skin is pale and clammy. Patient is sitting in a chair in his office. Medical history: Hypertension, hypercholesterolemia, smoker for 40 years. Medications: Ramipril 5mg daily, Atorvastatin 20mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 12:30.
Timeline: 1345 hours: Patient began experiencing mild chest discomfort 1350 hours: Chest pain intensified, radiating to left arm, shortness of breath started 1355 hours: Patient started sweating profusely, felt dizzy and nauseous 1358 hours: Patient called emergency services 1400 hours: Current time, patient is still experiencing severe chest pain and shortness of breath Prior Events: Patient reports occasional mild chest discomfort for the past few weeks, attributed to indigestion. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient has a history of smoking 20 cigarettes per day.
Initial Impression: Suspected Acute Myocardial Infarction (Heart Attack) Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptoms - Severe chest pain, radiation to the arm, shortness of breath, diaphoresis - Time-sensitive condition requiring rapid medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and duration of pain) 3. Aortic Dissection (lower probability, no reported tearing pain) 4. Pulmonary Embolism (lower probability, no reported pleuritic pain or sudden onset) Required Actions: - Dispatch of ground EMS with ALS capabilities - Administration of oxygen and aspirin - Continuous ECG monitoring - Preparation for transport to nearest hospital with cardiac catheterization capabilities