Hafnarstræti 18, 600 Akureyri. Ground floor of a two-story wooden building constructed in 1955. Main entrance is street level with no steps. No elevator. Building has a single fire escape at the rear. Street parking is available. Current conditions: 7°C, overcast, light wind, good visibility. GPS coordinates: 65.6817° N, 18.0910° W. Nearest landmark: Hof Cultural and Conference Center.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious but anxious. Skin is pale and clammy. Patient is sitting on a chair in his office. Medical history: Hypertension, type 2 diabetes, hyperlipidemia. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 40mg daily. Known allergy to penicillin. Last meal was lunch at 13:00.
Timeline: 1415 hours: Patient reports sudden onset of severe chest pain while at his desk. 1416 hours: Patient describes pain radiating to his left arm, experiencing shortness of breath. 1417 hours: Patient begins to feel nauseous and dizzy, calls emergency services. 1420 hours: Current time, patient is still experiencing severe chest pain, sweating profusely. Prior Events: Patient reports occasional mild chest discomfort in the past month, attributed to indigestion. No prior cardiac events. Last medical check-up 6 months ago, routine follow-up. Patient is a non-smoker, occasional alcohol use.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of cardiac event based on classic symptoms (chest pain, radiation, diaphoresis, shortness of breath) - Time-sensitive condition requiring rapid medical intervention to prevent irreversible damage - Risk of cardiac arrest Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and duration) 3. Aortic Dissection (less likely given no back pain) 4. Pulmonary Embolism (less likely given lack of pleuritic pain) 5. Esophageal Spasm (less likely given severity and radiation of pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Initiate cardiac monitoring and establish IV access - Administer oxygen therapy - Prepare for possible defibrillation - Rapid transport to nearest hospital with cardiac catheterization lab