Hafnarstræti 98, 600 Akureyri. Ground floor of a two-story commercial building, built in 1965, with a flat roof. Main entrance is street-level, no steps. No elevator. Side entrance is locked with a keycard. Street parking available. Building is equipped with basic fire extinguishers. Current conditions: 7°C, cloudy, light wind. GPS coordinates: 65.6822° N, 18.0915° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain radiating to the left arm, shortness of breath, sweating. Patient reports feeling dizzy and nauseous. Secondary symptoms: Patient is pale and anxious. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 20mg daily. Known allergy: Penicillin. Last meal was a sandwich at 12:00.
Timeline: 1310 hours: Patient was sitting at his desk when he experienced sudden chest pain. 1311 hours: Pain increased in intensity, radiating to left arm. 1312 hours: Patient started feeling dizzy and short of breath, sweating profusely. 1313 hours: Patient called his son for help. 1315 hours: Son arrived and called emergency services. 1317 hours: Current time, patient is still experiencing chest pain, lying on the office floor. Prior Events: Patient reports occasional mild chest discomfort over the past few months, dismissed as indigestion. No prior history of heart attack or stroke. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient is a non-smoker and drinks alcohol occasionally.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptoms (chest pain, radiation, shortness of breath, diaphoresis) - Time-sensitive condition requiring prompt medical intervention to reduce myocardial damage - Patient has multiple risk factors for coronary artery disease (hypertension, hyperlipidemia, diabetes) Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (less likely given severity of pain and associated symptoms) 3. Aortic Dissection (less likely given absence of tearing pain) 4. Pulmonary Embolism (less likely given absence of pleuritic chest pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Administration of oxygen and pain management protocols - 12-lead ECG acquisition and transmission - Preparation for transport to nearest hospital with cardiac catheterization capabilities