Hafnarstræti 19, 600 Akureyri, second floor, office 203. Three-story concrete commercial building built in 1965, renovated in 2010. Main entrance accessible via street level doors, no security features. Elevator and stairwell available. Street parking is available. Weather conditions: 8°C, overcast, light wind. GPS coordinates: 65.6810° N, 18.0899° W. Nearest landmark: Akureyri Art Museum.
55-year-old male, experiencing sudden onset of severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm and jaw, shortness of breath, sweating. Secondary symptoms: Nausea, dizziness. Patient is conscious and anxious. Skin is pale and clammy. Patient is sitting on an office chair. Medical history: Hypertension, hyperlipidemia. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a light lunch at 12:30.
Timeline: 1415 hours: Patient began experiencing mild chest discomfort. 1420 hours: Chest pain intensified, radiating to left arm and jaw, shortness of breath developed. 1422 hours: Patient started sweating and feeling nauseous. 1425 hours: Patient called his colleague for assistance. 1427 hours: Colleague called emergency services. 1428 hours: Current time, patient still experiencing severe chest pain, sitting in his office chair. Prior Events: Patient reports occasional mild chest discomfort after heavy meals, no prior episodes of severe chest pain. Last medical check-up was 6 months ago, routine follow-up. Patient is a smoker, 20 cigarettes per day.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of acute cardiac event based on classic symptoms - Chest pain radiating to left arm and jaw, shortness of breath, sweating - Time-sensitive condition requiring rapid intervention to minimize cardiac damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and duration of pain) 3. Aortic Dissection (less likely given absence of tearing pain) 4. Pulmonary Embolism (less likely given absence of risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - Cardiac monitoring and ECG initiation - Oxygen administration - Preparation for transport to nearest hospital with cardiac catheterization lab