Hafnarstræti 22, 600 Akureyri. Ground floor of a two-story wooden building, built in 1955. Main entrance faces the street, with a small step. No elevator. Street parking available. Building has a simple alarm system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6822° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Patient reports sudden onset of symptoms while resting at home. Secondary symptoms: Nausea, lightheadedness. Patient is conscious and anxious. Skin is pale and clammy. Patient sitting on a chair in the living room. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1445 hours: Patient began experiencing mild chest discomfort 1450 hours: Chest pain became severe, radiating to the left arm, shortness of breath developed 1452 hours: Patient started sweating profusely, felt nauseous 1455 hours: Patient called his son for help, who then called emergency services 1457 hours: Current time, patient is still sitting in a chair, experiencing severe chest pain Prior Events: Patient has had occasional mild chest discomfort in the past, attributed to indigestion. No prior hospitalizations for cardiac issues. Last medical check-up 6 months ago, routine follow-up. Patient lives with his wife, who is currently out shopping.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of cardiac event based on symptoms (chest pain, radiation, diaphoresis) - Potential for life-threatening complications (arrhythmia, cardiac arrest) - Time-sensitive condition requiring rapid medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity of pain and diaphoresis) 3. Pulmonary Embolism (lower probability, no reported leg swelling or recent travel) 4. Aortic Dissection (lower probability, no reported tearing sensation) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Pain management protocols initiation - Preparation for transport to nearest hospital with cardiac catheterization capabilities