Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building built in 1935. Main entrance is at street level, no steps. One additional back exit. No security features. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6839° N, 18.0929° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain, radiating to left arm, shortness of breath, nausea, diaphoresis. Patient reports feeling dizzy. Patient is conscious but anxious. Secondary symptoms: Palpitations, feeling of impending doom. Patient is sitting in a chair in his living room. Medical history: Hypertension, type 2 diabetes, hyperlipidemia. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient was watching television, sudden onset of chest pain 1416 hours: Patient attempted to walk but felt dizzy and sat down 1417 hours: Pain intensified, patient began experiencing shortness of breath 1418 hours: Patient called his son for help 1420 hours: Son arrived, called emergency services 1422 hours: Current time, patient is pale, sweating, and in visible distress Prior Events: Patient reports occasional mild chest discomfort in the past few months, but never this severe. Last medical check-up 6 months ago, routine follow-up. Patient has a history of smoking (quit 5 years ago). No recent illnesses or injuries. Patient lives alone, but son lives nearby.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptoms and history - Classic presentation of AMI: severe chest pain, radiation, diaphoresis, dyspnea - Time-sensitive condition requiring rapid intervention to prevent further damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (less likely given severity of pain) 3. Aortic Dissection (less likely given no back pain or tearing sensation) 4. Pulmonary Embolism (lower probability, no risk factors reported) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG and cardiac monitoring - Oxygen administration - Preparation for transport to nearest hospital with cardiac catheterization lab