Hafnarstræti 18, 600 Akureyri, third floor, apartment 3B. A four-story concrete building built in 1965. Main entrance is accessible via street-level door with a keypad lock (code: 1965). There is one elevator and a central stairwell. Street parking is available. The building has a basic fire alarm system. Current weather: 8°C, overcast, light breeze, good visibility. GPS coordinates: 65.6819° N, 18.0912° W. Landmark: The building is located across the street from the Akureyri Art Museum.
68-year-old male experiencing severe chest pain. Primary symptoms: Crushing chest pain, radiating to the left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is pale and anxious. Patient is sitting on a chair in his living room. Medical history: Hypertension, hypercholesterolemia, Type 2 Diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 20mg daily. Allergies: Penicillin. Last meal was a sandwich at 12:00.
Timeline: 13:30 hours: Patient started experiencing mild chest discomfort 13:45 hours: Chest pain intensified, radiating to left arm and jaw 13:50 hours: Patient developed shortness of breath and sweating 13:52 hours: Patient called his son, who called emergency services 13:55 hours: Current time, patient is sitting in a chair, complaining of severe chest pain Prior Events: Patient reports occasional chest discomfort during exercise, never this severe. No recent illnesses or injuries. Last medical check-up was 6 months ago, routine follow-up. Patient lives alone, son lives nearby.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a cardiac event based on symptoms and risk factors - Severe chest pain, radiation, shortness of breath, diaphoresis - 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, no reported tearing pain) 4. Pulmonary Embolism (less likely, no history of DVT) 5. Pericarditis (less likely, no pleuritic pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Initiate cardiac monitoring and oxygen therapy - Pain management protocols initiation (aspirin, nitroglycerin if indicated) - Rapid transport to nearest hospital with cardiac catheterization lab