Hafnarstræti 18, 600 Akureyri, ground floor, office space. Two-story commercial building, built in 1960, with concrete structure. Main entrance faces Hafnarstræti, accessible via one set of double doors. No elevator. Street parking available. Building has basic fire alarm system. Current conditions: 7°C, clear skies, good visibility. GPS coordinates: 65.6835° N, 18.0903° W. Nearest landmark: Akureyri Art Museum.
51-year-old male, experiencing severe chest pain. Primary symptoms: Intense, crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis, and nausea. Patient is pale and anxious. Patient is sitting in his office chair. Medical history: Hypertension diagnosed 5 years ago, hypercholesterolemia. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1345 hours: Patient began experiencing mild chest discomfort while working at his desk. 1350 hours: Chest pain intensified, radiating to left arm and jaw, patient became diaphoretic and nauseated. 1352 hours: Patient called his colleague for assistance, who then called emergency services. 1355 hours: Current time, patient is sitting in his office chair, experiencing severe chest pain and shortness of breath. Prior Events: Patient reports occasional mild chest discomfort over the past few months, attributed to stress. Last medical check-up was 6 months ago, routine follow-up. No recent illnesses or injuries. Patient does not smoke but reports a family history of heart disease.
Initial Impression: Suspected Acute Myocardial Infarction (Heart Attack) Justification for F2 Classification: - High probability of acute coronary syndrome based on classic symptoms (chest pain, radiation, diaphoresis, shortness of breath) - Potential for rapid deterioration and life-threatening complications (arrhythmias, cardiac arrest) - Time-sensitive condition requiring prompt medical intervention (ECG, cardiac enzymes, thrombolysis) Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (less likely given severity of symptoms) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no pleuritic pain) 5. Gastroesophageal Reflux (less likely, pain characteristics atypical) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - ECG monitoring and acquisition - Aspirin administration (if no contraindications) - IV access establishment - Rapid transport to nearest hospital with cardiac catheterization lab