Hafnarstræti 18, 600 Akureyri. Second floor office suite in a three-story commercial building constructed in 1995. Main entrance accessible via street-level door with intercom. Stair access only; no elevator. Street parking available. Building has standard fire safety equipment. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6822° N, 18.0925° W. Nearest landmark: Akureyri Art Museum.
51-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Patient is conscious but pale and anxious. Secondary symptoms: Nausea, dizziness. Patient is sitting in his office. Medical history: Hypertension diagnosed 5 years ago, hyperlipidemia. Medications: Lisinopril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1410 hours: Patient started experiencing mild chest discomfort. 1415 hours: Chest pain intensified and started radiating to left arm. Patient became diaphoretic and short of breath. 1418 hours: Patient felt nauseous and dizzy. Called his colleague for help. 1420 hours: Colleague called emergency services. 1422 hours: Current time, patient still experiencing severe chest pain and shortness of breath. Prior Events: Patient reports no recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient has a family history of heart disease. He reports recent stress at work.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a life-threatening cardiac event based on classic symptoms (chest pain, radiation, diaphoresis, shortness of breath) - Time-sensitive condition requiring rapid intervention to minimize cardiac damage - Patient's history of hypertension and hyperlipidemia increases risk Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity of pain and diaphoresis) 3. Aortic Dissection (less likely given lack of tearing pain) 4. Pulmonary Embolism (less likely given absence of pleuritic pain and recent risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - Initiate cardiac monitoring and oxygen administration - Prepare for possible cardiac arrest - Transport to nearest hospital with cardiac catheterization capabilities