Hafnarstræti 25, 600 Akureyri, third floor apartment 3B. A five-story concrete building constructed in 1995. Main entrance with a coded lock (code: 1975). Elevator and central stairwell access. Street parking available, but can be limited during peak hours. Building equipped with smoke detectors and fire alarm system. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6819° N, 18.0909° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain, radiating to left arm and jaw, shortness of breath, diaphoresis. Patient reports feeling dizzy and nauseous. Patient is pale and anxious. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 20mg daily, Aspirin 81mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1415 hours: Patient was watching TV, felt sudden onset of severe chest pain. 1416 hours: Pain became more intense, radiating to left arm and jaw, associated with shortness of breath. 1417 hours: Patient felt dizzy and nauseous, started sweating profusely. 1418 hours: Patient called his son for help, who then called emergency services. 1420 hours: Current time, patient is still experiencing severe chest pain, sitting on his sofa, pale and anxious. Prior Events: Patient has a history of stable angina, managed with medication. No recent changes in medication. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, but his son lives nearby.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of life-threatening cardiac event based on classic symptoms. - Chest pain radiating to left arm and jaw, associated with diaphoresis and shortness of breath. - Patient has multiple risk factors for coronary artery disease. - Time-sensitive condition requiring rapid medical intervention to minimize myocardial damage. Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely, but cannot rule out AMI) 3. Aortic Dissection (less likely, but must consider) 4. Pulmonary Embolism (less likely given the symptoms) 5. Gastroesophageal Reflux (less likely given the severity and radiation of pain) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities. - Continuous cardiac monitoring and ECG assessment. - Oxygen administration. - Aspirin administration if not already taken. - Pain management protocols initiation. - Preparation for transport to nearest hospital with cardiac catheterization capabilities.