Hafnarstræti 23, 600 Akureyri, third floor, office 304. Five-story concrete building constructed in 1995. Main entrance has a coded lock, code 1978. Elevator and central stairwell access to all floors. Street parking available. Building has a fire alarm system. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6823° N, 18.0921° W. Nearest landmark: Hof Cultural and Conference Center.
51-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm, shortness of breath, sweating. Patient reports feeling lightheaded and nauseous. Secondary symptoms: Anxiety, pale skin. Patient is conscious but distressed. Medical history: Hypertension, hypercholesterolemia, family history of heart disease. Medications: Lisinopril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1330 hours: Patient experienced sudden onset of chest pain while at work. 1332 hours: Pain increased in intensity, radiating to left arm, patient became short of breath and sweaty. 1335 hours: Patient called his coworker for assistance, who then called emergency services. 1338 hours: Current time, patient sitting in his office chair, pale and distressed. Prior Events: Patient reports occasional mild chest discomfort over the past few weeks, attributed to indigestion. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient is a smoker, approximately 1 pack per day.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - Classic symptoms of AMI, including severe chest pain, radiation to left arm, shortness of breath, and diaphoresis. - High-risk patient with pre-existing hypertension, hypercholesterolemia, and family history of heart disease. - Time-sensitive condition requiring prompt medical evaluation and intervention to minimize myocardial damage. Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and onset of symptoms) 3. Aortic Dissection (less likely, no reported tearing pain) 4. Pulmonary Embolism (less likely, no recent travel or prolonged immobilization) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and cardiac monitoring - Aspirin administration (if no contraindications) - Preparation for transport to nearest hospital with cardiac catheterization lab