Hafnarstræti 22, 600 Akureyri, third floor apartment 3B. A five-story concrete building constructed in 1990. The main entrance is secured with a key code. There is one elevator and a central stairwell. Street parking is available. The building has a fire alarm system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6821° N, 18.0915° 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, nausea. Patient is pale and anxious. Secondary symptoms: Dizziness. Patient is sitting upright in his living room. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 500mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily, Aspirin 75mg daily. Known allergy to penicillin. Last meal was a light lunch at 13:00.
Timeline: 1410 hours: Patient started experiencing mild chest discomfort 1415 hours: Chest pain became severe, radiating to left arm and jaw 1417 hours: Patient became short of breath, diaphoretic and nauseous 1420 hours: Patient called emergency services 1422 hours: Current time, patient still experiencing severe chest pain Prior Events: Patient reports a history of stable angina, usually relieved by rest. No recent changes in medication. Last medical check-up 2 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 acute coronary syndrome based on classic symptoms - Severe chest pain, radiation, diaphoresis, shortness of breath - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely given history) 3. Aortic Dissection (less likely, no tearing pain reported) 4. Pulmonary Embolism (less likely, no sudden onset of dyspnea) 5. Musculoskeletal Chest Pain (less likely given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Aspirin administration - Preparation for transport to nearest hospital with cardiac services