Hafnarstræti 19, 600 Akureyri. Second floor office in a three-story building constructed in 1965. The building is made of concrete with a flat roof. The main entrance is on Hafnarstræti, and there is a secondary entrance on the back of the building with a small parking lot. The office is accessible by stairs. No elevator. The building has a basic security system, but no codes are needed during business hours. Current conditions: 7°C, overcast, light wind. GPS coordinates: 65.6824° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
51-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain, radiating to left arm, shortness of breath, diaphoresis, nausea. Patient reports feeling lightheaded and anxious. Secondary symptoms: Pale skin, rapid breathing. Patient is conscious and able to speak in short sentences. Medical history: Hypertension, hyperlipidemia, family history of heart disease. Medications: Lisinopril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1330 hours: Patient was at his desk when he experienced sudden onset of chest pain. 1332 hours: Pain intensified, radiating to his left arm. Patient became diaphoretic and short of breath. 1334 hours: Patient asked his colleague to call emergency services. 1336 hours: Current time, patient is sitting in a chair, pale, and experiencing significant distress. Prior Events: Patient reports occasional mild chest discomfort with exertion in the past few months. No prior cardiac events or hospitalizations. 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 life-threatening cardiac event based on 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. Angina Pectoris (less likely given severity and sudden onset) 3. Pulmonary Embolism (possible, but less likely given primary symptoms) 4. Aortic Dissection (less likely given patient's age and lack of specific risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - Cardiac monitoring and ECG - Oxygen administration - Aspirin administration - Preparation for transport to nearest hospital with cardiac catheterization capabilities