Hafnarstræti 22, 600 Akureyri, ground floor of a two-story wooden building, built in 1950. Main entrance is at street level, no stairs. No elevator. Street parking available. Building has basic security with a standard lock. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.6824° N, 18.0917° W. Nearest landmark: Akureyri Art Museum.
65-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, anxious, and diaphoretic. Patient sitting in a chair in his office. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. Allergies: None known. Last meal was a sandwich at 12:00.
Timeline: 1315 hours: Patient reports sudden onset of chest pain while working at his desk. 1316 hours: Pain intensifies, radiating to left arm and jaw. Patient becomes diaphoretic and short of breath. 1317 hours: Patient feels nauseous and dizzy. He asks his coworker to call emergency services. 1318 hours: Coworker calls emergency services. 1320 hours: Current time, patient still in chair, experiencing severe chest pain. Prior Events: Patient reports occasional mild chest discomfort in the past month, attributed to indigestion. No recent hospitalizations or major medical events. Last medical check-up was 6 months ago, routine follow-up.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a life-threatening cardiac event based on presenting symptoms - Severe chest pain, radiation, shortness of breath, diaphoresis - Time-sensitive condition requiring immediate medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely, but needs further evaluation) 3. Aortic Dissection (less likely given no ripping sensation) 4. Pulmonary Embolism (less likely given no pleuritic chest pain) 5. Musculoskeletal Chest Pain (less likely given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and acquisition - Oxygen therapy initiation - Preparation for transport to nearest hospital with cardiac catheterization capabilities