Hafnarstræti 18, 600 Akureyri, ground floor of a two-story commercial building. The building is of older brick construction with large storefront windows. The main entrance is on the street level, with a small step up. There is no elevator. Street parking is available. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6821° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
62-year-old male experiencing sudden onset of severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious and anxious. Skin is pale and clammy. Patient is sitting on a chair in his office. Medical history: Diagnosed with hypertension and hyperlipidemia 5 years ago. Medications: Lisinopril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a sandwich at 12:30.
Timeline: 1400 hours: Patient was working at his desk when he experienced sudden chest pain. 1401 hours: Pain became severe and radiated to left arm and jaw. 1402 hours: Patient started feeling short of breath and diaphoretic. 1403 hours: Patient called his colleague for help, who then called emergency services. 1405 hours: Current time, patient is still experiencing severe chest pain. Prior Events: Patient reports no recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient reports occasional mild chest discomfort in the past, but nothing of this severity. Patient has a family history of heart disease.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a cardiac event based on chest pain characteristics and associated symptoms - Time-sensitive condition requiring prompt medical intervention - Patient is at risk of rapid deterioration and potential cardiac arrest Differential Diagnoses: 1. Acute Myocardial Infarction (AMI) (high probability) 2. Angina Pectoris (less likely due to severity and associated symptoms) 3. Pulmonary Embolism (possible but less likely given presentation) 4. Aortic Dissection (less likely but must be considered) 5. Musculoskeletal Chest Pain (less likely due to severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG monitoring and acquisition - Oxygen administration - Pain management protocols initiation - Preparation for transport to nearest hospital with cardiac services