Hafnarstræti 22, 600 Akureyri, ground floor of a two-story wooden building constructed in 1950. Main entrance has a single door with a small step. No elevator, stairs to second floor. Street parking available. Building is equipped with smoke detectors. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6823° N, 18.0915° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious and alert, but anxious. Skin pale and clammy. Patient is sitting on a chair in his office. Medical history: Type 2 diabetes, hypertension, hyperlipidemia. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1315 hours: Patient began experiencing mild chest discomfort while working. 1320 hours: Chest pain intensified, radiating to the left arm, shortness of breath began. 1322 hours: Patient became diaphoretic and nauseous. 1325 hours: Patient called his son for help. 1327 hours: Son arrived and called emergency services. 1330 hours: Current time, patient is sitting in a chair, experiencing severe chest pain. Prior Events: Patient reports occasional mild chest discomfort with exertion in the past, never this severe. Last medical check-up 6 months ago, routine follow-up. Patient has been under stress due to work deadlines.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of cardiac event based on symptoms and risk factors - Severe chest pain, radiation to the arm, shortness of breath, diaphoresis - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (less likely given severity and duration of symptoms) 3. Aortic Dissection (lower probability, no reported tearing pain) 4. Pulmonary Embolism (lower probability, no reported pleuritic pain) 5. Gastroesophageal Reflux (less likely given severity of pain and other symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Aspirin administration (if no contraindications) - Preparation for transport to nearest hospital with cardiac services