Hafnarstræti 19, 600 Akureyri. Ground floor of a two-story commercial building, built in 1955. Main entrance is street-level, no stairs. Secondary entrance in the back, with a small step. No elevator. Parking available in front and back of the building. Building has a basic security system with door locks. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6823° N, 18.0915° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain radiating to the left arm, shortness of breath, diaphoresis, nausea. Secondary symptoms: Mild dizziness. Patient is conscious and anxious. Skin is pale and clammy. Patient is sitting on a chair in his office. Medical history: Hypertension diagnosed 5 years ago, hyperlipidemia, smoker (20 pack-years). Medications: Lisinopril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1345 hours: Patient experienced sudden onset of chest pain while working at his desk 1346 hours: Patient describes pain as severe and radiating to his left arm 1347 hours: Patient became diaphoretic and short of breath 1348 hours: Patient called his colleague for help 1350 hours: Colleague called emergency services 1352 hours: Current time, patient is still sitting in his office, in distress. Prior Events: Patient reports occasional mild chest discomfort over the past few months, but no previous episodes of severe pain. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptoms - Severe chest pain, radiation to left arm, shortness of breath, diaphoresis - Time-sensitive condition requiring immediate medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and onset) 3. Aortic Dissection (lower probability, no reported tearing pain) 4. Pulmonary Embolism (lower probability, no pleuritic pain or hemoptysis) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and cardiac monitoring - Aspirin administration (if no contraindications) - Preparation for transport to nearest hospital with cardiac services