Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building built in 1950. Main entrance is at street level with a small step. No elevator. Parking available on street. Building has a basic fire alarm system. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6828° N, 18.0927° W. Nearest landmark: Akureyri Art Museum.
62-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Patient is pale and anxious. Secondary symptoms: Nausea, dizziness. Patient is sitting in 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 lunch at 13:00.
Timeline: 1415 hours: Patient began experiencing mild chest discomfort 1430 hours: Chest pain intensified, radiating to the left arm 1435 hours: Patient developed shortness of breath and diaphoresis 1438 hours: Patient called emergency services 1440 hours: Current time, patient is sitting, pale, and anxious Prior Events: Patient reports experiencing similar episodes of mild chest discomfort in the past few months, which resolved spontaneously. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient is a smoker with a 40-pack-year history.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of acute coronary syndrome based on symptoms and risk factors - Severe chest pain radiating to the left arm, shortness of breath, diaphoresis - Time-sensitive condition requiring immediate medical intervention to prevent further cardiac damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and duration of pain) 3. Aortic Dissection (less likely given absence of ripping pain) 4. Pulmonary Embolism (less likely given absence of pleuritic pain) 5. Musculoskeletal Chest Pain (less likely given severity of pain and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG acquisition and transmission - Oxygen administration and cardiac monitoring - Aspirin administration if no contraindications - Preparation for transport to nearest hospital with cardiac catheterization capabilities