Hafnarstræti 18, 600 Akureyri, ground floor, commercial building. Two-story concrete building, built in 1960, with a glass storefront and a single entrance. Street parking available. Building has a basic security system, no codes required for entry during business hours. Current conditions: 8°C, overcast, light wind. GPS coordinates: 65.6822° N, 18.0913° W. Nearest landmark: Akureyri Art Museum.
51-year-old male, experiencing sudden onset chest pain at his workplace. Primary symptoms: severe, crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: nausea, dizziness. Patient is pale and anxious. Patient is sitting on a chair in his office. Medical history: hypertension, hypercholesterolemia. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1315 hours: Patient experienced sudden onset of severe chest pain 1316 hours: Patient became diaphoretic and short of breath 1317 hours: Patient reports pain radiating to his left arm and jaw 1318 hours: Patient asked his coworker to call emergency services 1320 hours: Current time, patient sitting in chair, still experiencing severe pain Prior Events: Patient has a history of hypertension and hypercholesterolemia, managed with medications. Patient reports occasional mild chest discomfort with exertion but nothing like this. Last medical check-up 6 months ago, routine follow-up. Patient reports high stress levels at work recently. No recent illnesses or injuries.
Initial Impression: Possible Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptom presentation - Severe chest pain, radiating to left arm and jaw, diaphoresis, shortness of breath - Time-sensitive condition requiring immediate medical evaluation and intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and onset) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no pleuritic pain) 5. Panic Attack (less likely, typical symptoms of AMI present) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG and cardiac monitoring - Oxygen administration and pain management - Preparation for transport to nearest hospital with cardiac catheterization lab