Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. A five-story reinforced concrete building constructed in 1965. The main entrance is accessible via a coded lock, code is 1965. There is an elevator and a central staircase. Street parking is available. The building has a fire alarm system. Current weather conditions are 8°C, overcast, with good visibility. GPS coordinates: 65.6832° N, 18.0913° W. The nearest landmark is the Akureyri Art Museum.
68-year-old male, experiencing severe chest pain. Primary symptoms: Substernal chest pain described as crushing, radiating to left arm and jaw, shortness of breath, diaphoresis, nausea. Secondary symptoms: Dizziness, feeling of impending doom. Patient is conscious but anxious. Skin is 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 40mg daily, Lisinopril 20mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient started experiencing mild chest discomfort 1415 hours: Chest pain intensified, radiating to left arm and jaw 1420 hours: Patient developed shortness of breath, diaphoresis, and nausea 1425 hours: Patient called his son for help 1428 hours: Son arrived, called emergency services 1430 hours: Current time, patient still experiencing severe chest pain Prior Events: Patient reports intermittent chest discomfort over the past week, attributing it to indigestion. No prior history of myocardial infarction or angina. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, but son lives nearby.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of AMI based on classic symptoms and risk factors - Severe chest pain, radiation, shortness of breath, diaphoresis, and nausea - Time-sensitive condition requiring prompt medical intervention to minimize myocardial damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no tearing pain reported) 4. Pulmonary Embolism (less likely, no pleuritic chest pain) 5. Gastroesophageal Reflux (less likely given severity of symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG acquisition and interpretation - Oxygen administration and pain management - Preparation for transport to nearest hospital with cardiac catheterization lab