Hafnarstræti 96, 600 Akureyri. A three-story commercial building with a ground-floor retail space and offices above. Built in 1965, concrete construction. Main entrance on Hafnarstræti, side entrance on the alleyway. No elevator, only stairs. Street parking available. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6818° N, 18.0922° W. Nearest landmark: Hof Cultural and Conference Center.
51-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain, radiating to left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is pale and anxious. Patient is sitting on a chair in his office. Medical history: Hypertension, hyperlipidemia. Medications: Lisinopril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 13:15 hours: Patient reports sudden onset of severe chest pain while working at his desk 13:16 hours: Patient experienced shortness of breath and sweating 13:17 hours: Patient attempted to walk to the restroom but felt dizzy 13:18 hours: Patient called his colleague for help 13:20 hours: Colleague called emergency services 13:22 hours: Current time, patient still sitting in chair, pale and diaphoretic Prior Events: Patient reports occasional mild chest discomfort over the past few weeks, attributing it to stress. No prior history of heart attack or angina. Last medical check-up 6 months ago, routine follow-up. Patient is a smoker (1 pack per day).
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a life-threatening cardiac event based on presenting symptoms - Chest pain radiating to arm and jaw, shortness of breath, diaphoresis - Time-sensitive condition requiring immediate medical intervention to minimize cardiac damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and new onset) 3. Aortic Dissection (less likely, no tearing pain reported) 4. Pulmonary Embolism (less likely, no sudden onset of respiratory distress) 5. Musculoskeletal Chest Pain (less likely given radiating pain and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG acquisition and interpretation - Oxygen administration - Administration of Aspirin - Preparation for transport to nearest hospital with cardiac services