Hafnarstræti 18, 600 Akureyri, ground floor, retail space. Single-story commercial building, constructed in 1995, glass storefront. Main entrance is directly on the street. No security features. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6813° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing sudden onset of severe chest pain while working in his shop. Primary symptoms: Intense, crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Patient reports feeling dizzy and nauseous. Patient is pale and appears anxious. Medical history: Hypertension, type 2 diabetes. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 40mg daily. Known allergy to penicillin. Last meal was a sandwich at 12:00.
Timeline: 1410 hours: Patient was stocking shelves when he experienced sudden onset of chest pain 1411 hours: Pain intensified, patient became diaphoretic and short of breath 1412 hours: Patient sat down on a chair, feeling dizzy and nauseous 1413 hours: Patient called his son for help, son called emergency services 1415 hours: Current time, patient still sitting, in severe pain Prior Events: Patient reports occasional mild chest discomfort over the past few months, attributed to indigestion. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient has a family history of heart disease.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a cardiac event based on classic symptoms (chest pain, radiation, diaphoresis, dyspnea) - Patient has risk factors (hypertension, diabetes, family history) - Time-sensitive condition requiring immediate medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity of pain) 3. Aortic Dissection (less likely given no tearing pain) 4. Pulmonary Embolism (less likely given no pleuritic pain) 5. Musculoskeletal Pain (less likely given radiation and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Pain management protocols initiation - Preparation for transport to nearest hospital with cardiac services