Hafnarstræti 23, 600 Akureyri, first floor of a two-story commercial building. Constructed in 1965, concrete structure. Main entrance on Hafnarstræti, secondary entrance on the side alley. No elevator. Street parking available. Building has a basic alarm system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6825° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing sudden onset chest pain. Primary symptoms: Severe, crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Patient is pale and anxious. Secondary symptoms: Nausea, dizziness. Patient is sitting in a chair in his office. Medical history: Type 2 diabetes, hypertension, hyperlipidemia. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 40mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1445 hours: Patient began experiencing chest pain while working at his desk 1447 hours: Pain intensified, patient became short of breath and diaphoretic 1448 hours: Patient called his son for help, who is now calling emergency services 1450 hours: Current time, patient is sitting in chair, pale and distressed Prior Events: Patient reports occasional mild chest discomfort in the past, but no prior cardiac events. Last medical check-up was 6 months ago, routine follow-up. Patient has a family history of heart disease. Patient has been under stress lately due to work deadlines.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a cardiac event based on severe chest pain, radiation, diaphoresis, and shortness of breath - Patient has multiple risk factors for heart disease (diabetes, hypertension, hyperlipidemia) - Time-sensitive condition requiring prompt medical intervention to limit myocardial damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina (less likely given severity and onset) 3. Pulmonary Embolism (possible, but less likely given lack of pleuritic pain) 4. Aortic Dissection (less likely, but cannot be ruled out based on current information) 5. Musculoskeletal Chest Pain (unlikely given the nature of the symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities, including ECG monitoring - Immediate administration of aspirin (if not already taken) and oxygen - Preparation for rapid transport to the nearest hospital with cardiac catheterization lab - Early notification of hospital to prepare for potential STEMI activation