Hafnarstræti 21, 600 Akureyri, third floor, office 305. A four-story commercial building, built in 1995. Main entrance has a keycard access system during non-business hours. Elevator and central staircase. Street parking available. Building has fire and security systems. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.6822° N, 18.0898° W. Nearest landmark: Akureyri Art Museum.
55-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Patient reports feeling nauseous and dizzy. Secondary symptoms: Palpitations, anxiety. Patient is conscious and responsive but appears distressed. Patient is sitting at his desk in his office. Medical history: Hypertension, hyperlipidemia. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a light lunch at 12:30.
Timeline: 1345 hours: Patient began experiencing mild chest discomfort 1350 hours: Chest pain intensified, radiating to left arm, shortness of breath started 1355 hours: Patient became nauseous and dizzy, broke out in a sweat 1358 hours: Patient called his colleague for help 1400 hours: Colleague called emergency services 1402 hours: Current time, patient is still at his desk, in severe pain Prior Events: Patient reports occasional mild chest discomfort for the past few months, attributed to indigestion. No prior cardiac events or hospitalizations. Last medical check-up 6 months ago, routine follow-up. Patient is a non-smoker, and reports moderate alcohol consumption.
Initial Impression: Possible Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a cardiac event based on chest pain characteristics and associated symptoms - Chest pain radiating to left arm, shortness of breath, diaphoresis - Time-sensitive condition requiring prompt medical intervention to minimize myocardial damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and duration) 3. Aortic Dissection (less likely given no tearing pain) 4. Pulmonary Embolism (less likely given no recent travel or immobilization) 5. Musculoskeletal Chest Pain (less likely given radiation and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and acquisition - Oxygen administration - Aspirin administration if not contraindicated - Preparation for transport to nearest hospital with cardiac services