Hafnarstræti 22, 600 Akureyri. Ground floor of a two-story wooden building, built in 1935, with a single entrance facing the street. Street parking available. No security features. Current conditions: 8°C, overcast, light wind. GPS coordinates: 65.6824° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing sudden onset of severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, diaphoresis, nausea. Patient reports feeling anxious and dizzy. Skin is pale and clammy. Patient is conscious but distressed. Patient sitting on a chair in his office. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 500mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1315 hours: Patient started experiencing mild chest discomfort 1320 hours: Chest pain became severe, radiating to left arm, accompanied by shortness of breath and diaphoresis 1322 hours: Patient called his son for help 1325 hours: Son arrived, called emergency services 1327 hours: Current time, patient still experiencing severe chest pain, sitting on chair Prior Events: Patient reports a history of mild, intermittent chest discomfort for the past month, attributed to indigestion. No prior cardiac events. Last medical check-up 6 months ago, routine follow-up. Patient lives with his wife, son works nearby.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of acute cardiac event based on symptoms (chest pain, radiation, diaphoresis) - Time-sensitive condition requiring rapid medical intervention - Potential for rapid deterioration to life-threatening arrhythmia Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and acute onset) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no pleuritic pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring initiation - Oxygen administration - Aspirin administration - Preparation for transport to nearest hospital with cardiac catheterization lab