Hafnarstræti 22, 600 Akureyri, ground floor of a two-story wooden building, built in 1955. Main entrance faces the street, no security codes. One small step at the entrance. Street parking available. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6812° N, 18.0923° W. Nearest landmark: Akureyri Art Museum.
62-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm and jaw, shortness of breath, diaphoresis. Patient reports sudden onset of symptoms while at home. Secondary symptoms: Nausea, dizziness. Patient is pale and anxious. Patient is sitting on a chair in the living room. Medical history: Hypertension diagnosed 5 years ago, hypercholesterolemia. Medications: Lisinopril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient started experiencing mild chest discomfort 1445 hours: Chest pain intensified, radiating to the left arm and jaw 1450 hours: Patient became diaphoretic and short of breath 1452 hours: Patient called his son for help 1455 hours: Son arrived, called emergency services 1457 hours: Current time, patient is sitting on chair, experiencing severe pain Prior Events: Patient reports no prior history of chest pain or heart problems. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient lives with his wife, son lives nearby.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a serious cardiac event based on symptoms and risk factors - Severe chest pain, radiation, diaphoresis, and shortness of breath - Time-sensitive condition requiring prompt medical evaluation and treatment Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity of pain) 3. Aortic Dissection (less likely, no reported tearing pain) 4. Pulmonary Embolism (lower probability, no sudden onset of shortness of breath) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Administration of aspirin if no contraindications - Preparation for transport to nearest hospital with cardiac catheterization services