Hafnarstræti 18, 600 Akureyri, ground floor, retail shop. Single-story commercial building, concrete construction, built in 1965. Main entrance is street-level with a single glass door. No elevators or internal stairs. Street parking available. Building has basic security with a lockable door. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6813° N, 18.0903° W. Nearest landmark: Akureyri Art Museum.
56-year-old male, experiencing sudden onset chest pain. Primary symptoms: Severe, crushing chest pain radiating to left arm and jaw, shortness of breath, sweating. Patient reports feeling lightheaded. Secondary symptoms: Nausea, anxiety. Patient is conscious and alert but distressed. Skin is pale and clammy. Patient is sitting on a chair inside the shop. Medical history: Hypertension, hypercholesterolemia. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a sandwich around 11:00.
Timeline: 1210 hours: Patient reports sudden onset of chest pain while working in his shop. 1212 hours: Patient becomes increasingly short of breath, pain radiating to left arm. 1213 hours: Patient experiences sweating and lightheadedness. 1214 hours: Patient calls emergency services. 1215 hours: Current time, patient is sitting down, still experiencing severe chest pain. Prior Events: Patient reports experiencing mild chest discomfort on exertion for the past few weeks, but attributed it to stress. Last medical check-up 6 months ago, routine follow-up for hypertension. No recent illnesses or injuries. Patient has a family history of heart disease.
Initial Impression: Suspected Acute Myocardial Infarction (Heart Attack) Justification for F2 Classification: - High probability of a life-threatening cardiac event based on the symptoms reported - Severe chest pain, radiation to left arm, shortness of breath, sweating - Time-sensitive condition requiring prompt medical intervention to reduce morbidity and mortality Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and onset) 3. Aortic Dissection (less likely given no reported tearing pain) 4. Pulmonary Embolism (less likely given no recent surgery or immobilization) 5. Musculoskeletal Chest Pain (less likely given radiation and associated symptoms) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities - Activation of chest pain protocols, including early ECG - Oxygen administration and monitoring - Preparation for transport to nearest hospital with cardiac services