Hafnarstræti 18, 600 Akureyri, second floor, office 203. A three-story commercial building with concrete construction, built in 1985. The main entrance is accessible via a coded door, code is 1985. There is an elevator and central staircase. Street parking is available. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6825° N, 18.0921° W. Nearest landmark: Akureyri harbor.
52-year-old male, experiencing sudden onset of severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm, shortness of breath, sweating, nausea. Secondary symptoms: Dizziness. Patient is conscious and anxious. Skin is pale and clammy. Patient is sitting in his office chair. Medical history: Hypertension, hyperlipidemia. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 1445 hours: Patient reports sudden onset of severe chest pain while working at his desk. 1446 hours: Patient reports pain radiating to his left arm, shortness of breath, and sweating. 1447 hours: Patient feels nauseous and dizzy, and calls his colleague for help. 1449 hours: Colleague calls emergency services. 1450 hours: Current time, patient still experiencing chest pain, sitting in his office chair. Prior Events: Patient reports no prior history of chest pain. He has been under some stress at work recently. Last medical check-up was 6 months ago, routine follow-up. Patient is a non-smoker and drinks occasionally.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) / Heart Attack Justification for F2 Classification: - High probability of a cardiac event based on classic symptoms of chest pain, radiation to the left arm, shortness of breath, sweating, and nausea. - Time-sensitive condition requiring rapid medical intervention to prevent severe complications. Differential Diagnoses: 1. Acute Myocardial Infarction (AMI) (high probability) 2. Angina (less likely due to severity and onset) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no pleuritic pain or risk factors) 5. Esophageal Spasm (less likely, no history of dysphagia) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG acquisition and transmission - Oxygen administration - Pain management with nitroglycerin and/or morphine as per protocol - Preparation for transport to nearest hospital with cardiac catheterization lab