Hafnarstræti 18, 600 Akureyri, ground floor, retail space. Single-story commercial building with glass storefront. Main entrance is street level, no steps. No security features, open to public during business hours. Weather conditions: 7°C, overcast, light wind. GPS coordinates: 65.6822° N, 18.0915° W. Nearest landmark: Akureyri Art Museum.
62-year-old male, experiencing sudden onset chest pain. Primary symptoms: Severe, crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious but appears distressed. Skin is pale and clammy. Patient is sitting on a chair inside the shop. Medical history: Hypertension, hypercholesterolemia. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 14:10 hours: Patient reports sudden onset of severe chest pain while working in his shop. 14:11 hours: Patient reports pain radiating to left arm and jaw, difficulty breathing. 14:12 hours: Patient became diaphoretic and nauseous. 14:13 hours: Patient sat down on a chair, called for help. 14:15 hours: Current time, patient is still experiencing chest pain, waiting for help. Prior Events: Patient reports no prior history of chest pain, no recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient is a non-smoker and reports moderate alcohol consumption.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of cardiac event based on classic symptoms of chest pain, radiation, shortness of breath, diaphoresis - Time-sensitive condition requiring prompt medical evaluation and intervention - Potential for rapid deterioration Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and sudden onset) 3. Aortic Dissection (less likely given lack of tearing pain) 4. Pulmonary Embolism (less likely given lack of pleuritic pain) 5. Musculoskeletal Chest Pain (less likely given severity and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - Cardiac monitoring - Preparation for transport to nearest hospital with cardiac catheterization capabilities