Hafnarstræti 96, 600 Akureyri, ground floor of a two-story wooden building constructed in 1955. Main entrance is street-level with a single door. No elevator. Street parking available. Building is equipped with smoke detectors. Current conditions: 7°C, overcast, light breeze, good visibility. GPS coordinates: 65.6834° N, 18.0925° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis. Patient reports sudden onset of symptoms while watching television. Secondary symptoms: Nausea, dizziness. Patient is pale and anxious. Patient is sitting on a sofa in his living room. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metoprolol 50mg twice daily, Atorvastatin 20mg daily, Metformin 500mg twice daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient was watching television when he experienced sudden onset of chest pain. 1432 hours: Pain intensified, radiating to his left arm and jaw, patient became short of breath and sweaty. 1435 hours: Patient called his son for help. 1438 hours: Son arrived, called emergency services. 1440 hours: Current time, patient is sitting on the sofa, experiencing severe chest pain. Prior Events: Patient has a history of stable angina, managed with medication. Last ECG 6 months ago was normal. No recent illnesses or injuries. Last medical check-up 2 months ago, routine follow-up. Patient lives alone, but son lives nearby.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a cardiac event based on classic symptoms (chest pain radiating to left arm and jaw, shortness of breath, diaphoresis) - Patient has risk factors (hypertension, hyperlipidemia, type 2 diabetes) - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability, cannot be ruled out without ECG) 3. Aortic Dissection (lower probability, no reported tearing pain) 4. Pulmonary Embolism (lower probability, no reported pleuritic pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Aspirin administration if not already taken - Preparation for transport to nearest hospital with cardiac catheterization lab