Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building constructed in 1950. Main entrance is at street level with no steps. One exit at the back leading to a small yard. No elevator. Street parking available. Building has basic fire safety measures. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.6837° N, 18.0899° W. Nearest landmark: Akureyri Art Museum.
62-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain, radiating to left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious but anxious. Skin is pale and clammy. Patient sitting on a chair in his living room. Medical history: Hypertension, hypercholesterolemia. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient reports sudden onset of severe chest pain while watching TV 1416 hours: Pain intensifies, patient becomes diaphoretic 1417 hours: Patient reports shortness of breath and nausea 1418 hours: Patient calls emergency services 1420 hours: Current time, patient is still experiencing chest pain Prior Events: Patient reports occasional mild chest discomfort in the past few months, attributed to indigestion. No prior cardiac events. Last medical check-up 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptoms - Severe chest pain radiating to left arm and jaw, shortness of breath, diaphoresis - Time-sensitive condition requiring prompt medical intervention to minimize myocardial damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity of pain) 3. Aortic Dissection (less likely given no reported tearing pain) 4. Pulmonary Embolism (lower probability, no reported hemoptysis or sudden onset of dyspnea) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and ECG monitoring - Aspirin administration if no contraindications - Preparation for transport to nearest hospital with cardiac catheterization lab