Hafnarstræti 23, 600 Akureyri, first floor, apartment 102. A three-story concrete building built in 1968, with a main entrance on Hafnarstræti and a secondary entrance from the parking lot at the back. No elevator, only stairs. Access code required for the main entrance. Parking available both on the street and in the back parking lot. Building is equipped with smoke detectors. Current conditions: 8°C, overcast, moderate visibility. GPS coordinates: 65.6821° N, 18.0914° W. Nearest landmark: Hof Cultural and Conference Center.
63-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Patient reports feeling lightheaded. Secondary symptoms: Nausea, anxiety. Patient is conscious and alert but distressed. Skin pale and clammy. Patient is sitting on a chair in his living room. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient started experiencing chest discomfort while watching TV. 1420 hours: Chest pain intensified, radiating to left arm. Patient became short of breath. 1422 hours: Patient started feeling nauseous and lightheaded. He called his son for help. 1425 hours: Son arrived and called emergency services. 1427 hours: Current time, patient still sitting in chair, chest pain is severe. Prior Events: Patient has a history of stable angina for the past 5 years. Has had 2 ECGs in the last year, both normal. Last check-up was 6 months ago. No recent changes in medication. Patient reports no recent illnesses or injuries.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of life-threatening cardiac event based on symptoms - Severe chest pain radiating to left arm, shortness of breath, diaphoresis - Time-sensitive condition requiring rapid intervention to limit myocardial damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely given history, but needs to be ruled out) 3. Aortic Dissection (less likely given no back pain or tearing sensation) 4. Pulmonary Embolism (less likely given no sudden onset of dyspnea without chest pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Initiate oxygen therapy and cardiac monitoring - Establish IV access - Prepare for possible administration of aspirin and nitroglycerin - Early notification of hospital with cardiac catheterization capabilities