Hafnarstræti 22, 600 Akureyri. Ground floor of a two-story wooden building built in 1950. Main entrance is street-level with a single door. No elevator. Street parking available. Building has no security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6838° N, 18.0919° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm and jaw, shortness of breath, diaphoresis. Patient reports sudden onset of symptoms 20 minutes ago. Secondary symptoms: Nausea, dizziness. Patient is pale and anxious. Patient is sitting on a chair in his office. Medical history: Hypertension, hypercholesterolemia, smoker (1 pack per day for 40 years). Medications: Lisinopril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 1415 hours: Patient reports sudden onset of severe chest pain while at his desk. 1416 hours: Patient experiences shortness of breath and diaphoresis. 1417 hours: Patient attempts to take deep breaths, pain intensifies. 1418 hours: Patient calls his son for help. 1420 hours: Son arrives, calls emergency services. 1422 hours: Current time, patient is sitting in a chair, pale, diaphoretic, and in severe pain. Prior Events: Patient has a history of hypertension and high cholesterol. No prior cardiac events. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient lives with his wife, son lives nearby.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of life-threatening cardiac event based on symptoms and risk factors. - Severe chest pain, radiating pain, shortness of breath, diaphoresis are classic AMI symptoms. - Time-sensitive condition requiring rapid intervention to minimize myocardial damage. 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 absence of tearing pain) 4. Pulmonary Embolism (less likely given absence of pleuritic pain and hemoptysis) 5. Esophageal Spasm (less likely given radiation of pain and diaphoresis) Required Actions: - Dispatch of ground EMS with ALS capabilities. - ECG monitoring and interpretation. - Oxygen administration. - Aspirin administration (if no contraindications). - Preparation for transport to nearest hospital with cardiac catheterization capabilities.