Hafnarstræti 18, 600 Akureyri, first floor, apartment 103. A three-story concrete apartment building built in 1965. Main entrance is on the street level, secured with a key code. No elevator, only a central stairwell. Parking is available on the street. The building is equipped with smoke detectors. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6827° N, 18.0894° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Patient reports feeling lightheaded. Secondary symptoms: Nausea, anxiety. Patient is conscious and able to speak but appears distressed. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 500mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily, Aspirin 81mg daily. Known allergy: Sulfa drugs. Last meal was a light lunch at 12:30.
Timeline: 1345 hours: Patient was resting on his sofa, when sudden onset of chest pain occurred. 1346 hours: Patient reports chest pain radiating to his left arm, shortness of breath. 1347 hours: Patient experienced nausea and diaphoresis. Called his son for help. 1350 hours: Son arrived and called emergency services. 1352 hours: Current time, patient is still experiencing chest pain. Prior Events: Patient reports experiencing similar, milder episodes of chest pain in the past 3 months, which he attributed to indigestion. No recent hospitalizations. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, son lives nearby.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptoms and history. - Severe chest pain, radiating to left arm, diaphoresis, and shortness of breath are indicative of AMI. - Time-sensitive condition requiring immediate medical intervention. Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given the severity and sudden onset) 3. Aortic Dissection (less likely, no tearing pain reported) 4. Pulmonary Embolism (less likely, no specific risk factors reported) 5. Esophageal Spasm (less likely given the associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities. - Immediate ECG monitoring and interpretation. - Oxygen administration and cardiac monitoring. - Preparation for transport to nearest hospital with cardiac catheterization lab.