Hafnarstræti 18, 600 Akureyri. A three-story concrete building, built in 1965. Main entrance faces Hafnarstræti, with a secondary entrance from the back alley. The apartment is on the third floor, accessible by stairs only. No elevator. Street parking available. Current conditions: 8°C, cloudy, moderate wind. GPS coordinates: 65.6819° N, 18.0921° W. Nearest landmark: Akureyri Art Museum.
68-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 feeling very anxious and dizzy. Secondary symptoms: Nausea. Patient is pale and clutching his chest. Patient is sitting on the couch in his living room. Medical history: Hypertension, hypercholesterolemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 40mg daily, Lisinopril 20mg daily, Aspirin 75mg daily. Known allergy: Sulfa drugs. Last meal was a light lunch at 12:00.
Timeline: 1330 hours: Patient began experiencing mild chest discomfort 1345 hours: Chest pain intensified, radiating to left arm and jaw 1350 hours: Patient developed shortness of breath and diaphoresis 1355 hours: Patient called emergency services 1357 hours: Current time, patient still experiencing severe chest pain Prior Events: Patient reports occasional mild chest discomfort in the past few months, dismissed as indigestion. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of cardiac event based on classic symptoms (chest pain, radiation, diaphoresis) - Time-sensitive condition requiring rapid medical intervention - Potential for rapid deterioration to cardiac arrest Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and radiation) 3. Aortic Dissection (lower probability, no back pain) 4. Pulmonary Embolism (lower probability, no pleuritic pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG acquisition and interpretation - Oxygen administration and IV access - Preparation for transport to nearest hospital with cardiac catheterization lab