Hafnarstræti 18, 600 Akureyri, ground floor. Three-story wooden building constructed in 1930. Main entrance is street-level. No elevator. Street parking available. Building has basic fire safety features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6823° N, 18.0915° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Patient reports feeling anxious and dizzy. Secondary symptoms: Nausea. Patient is conscious but distressed. Skin pale and clammy. Patient sitting on a chair in his office. Medical history: Hypertension, hyperlipidemia, family history of heart disease. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1315 hours: Patient began experiencing mild chest discomfort 1320 hours: Chest pain intensified, radiating to left arm 1322 hours: Patient developed shortness of breath and diaphoresis 1325 hours: Patient called his son for help, who then called emergency services 1327 hours: Current time, patient is sitting down, reporting ongoing chest pain Prior Events: Patient reports occasional mild chest discomfort with exertion in the past year. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient has been under some stress at work recently.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a cardiac event based on classic symptoms: chest pain, radiation, diaphoresis, shortness of breath - Time-sensitive condition requiring rapid medical intervention - Potential for rapid deterioration and life-threatening arrhythmias Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and new onset) 3. Pulmonary Embolism (lower probability, no reported risk factors) 4. Aortic Dissection (lower probability, no reported back pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate initiation of cardiac protocols - ECG monitoring and interpretation - Administration of aspirin and oxygen - Preparation for transport to nearest hospital with cardiac catheterization lab