Hafnarstræti 22, 600 Akureyri, ground floor, retail space. Single-story commercial building, built in 1965, concrete construction. Main entrance at street level. No elevators, all access at ground level. Street parking is available. Building is equipped with basic fire alarm system. Current conditions: 7°C, overcast, moderate wind, dry pavement. GPS coordinates: 65.6811° N, 18.0911° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Patient reports feeling lightheaded and nauseous. Secondary symptoms: mild anxiety, restlessness. Patient is conscious and responsive. Skin pale and clammy. Patient is sitting on a chair in the back office of his retail shop. Medical history: hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 14:15 hours: Patient began experiencing mild chest discomfort while working in his shop. 14:20 hours: Chest pain intensified, radiating to left arm. Patient became short of breath. 14:22 hours: Patient started sweating profusely and felt nauseous. 14:25 hours: Patient called emergency services. 14:27 hours: Current time, patient is sitting in a chair, pale and diaphoretic, reporting ongoing chest pain. Prior Events: Patient has had occasional mild chest discomfort in the past few months, which he attributed to indigestion. No prior hospitalizations for cardiac issues. Last medical check-up 6 months ago, routine follow-up.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - Presence of classic AMI symptoms: crushing chest pain, radiation, shortness of breath, diaphoresis - Patient has multiple risk factors for coronary artery disease (hypertension, hyperlipidemia, diabetes) - Time-sensitive condition requiring rapid intervention to limit myocardial damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity of pain and diaphoresis) 3. Aortic Dissection (lower probability, no tearing pain) 4. Pulmonary Embolism (less likely, no reported risk factors) 5. Esophageal Spasm (lower probability, pain is more severe and persistent) Required Actions: - Dispatch of ground EMS with ALS capabilities - Initiation of cardiac monitoring and oxygen therapy - Administration of aspirin if no contraindications - Rapid transport to hospital with cardiac catheterization capabilities