Hafnarstræti 7, 600 Akureyri, third floor office 3B. A five-story concrete commercial building built in 1995. Main entrance has a keypad lock (code: 1234). Elevator and central staircase access all floors. Street parking available. Building has fire suppression system. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6833° N, 18.0917° W. Nearest landmark: Akureyri Art Museum.
55-year-old male, experiencing sudden onset of chest pain. Primary symptoms: Severe, crushing chest pain, radiating to left arm and jaw. Secondary symptoms: Shortness of breath, diaphoresis, nausea. Patient is pale and anxious. Patient is conscious and able to speak, but appears distressed. Patient is sitting in his office chair. Medical history: Hypertension, hypercholesterolemia, family history of heart disease. Medications: Atorvastatin 20mg daily, Lisinopril 10mg daily, Aspirin 75mg daily. No known allergies. Last meal was a sandwich and coffee at 11:00.
Timeline: 1310 hours: Patient reports sudden onset of chest pain while at his desk. 1312 hours: Pain intensifies, radiating to left arm and jaw. Patient becomes short of breath and diaphoretic. 1313 hours: Patient calls his colleague for help. 1315 hours: Colleague calls emergency services. Patient is still sitting in his chair, complaining of severe chest pain. Prior Events: Patient reports occasional mild chest discomfort in the past, attributed to indigestion. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient works at a desk job, moderately active outside of work. Patient is a smoker.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of cardiac event based on classic symptoms of chest pain radiating to left arm and jaw, diaphoresis, and shortness of breath. - Patient has risk factors including hypertension, hypercholesterolemia, and family history of heart disease. - Time-sensitive condition requiring rapid medical intervention. Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity of pain and diaphoresis) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no sudden pleuritic pain) 5. Esophageal Spasm (less likely, pain pattern not typical) Required Actions: - Dispatch of ground EMS with ALS capabilities - Cardiac monitoring and ECG acquisition - Oxygen administration and IV access - Aspirin administration (if not already taken) - Preparation for transport to nearest hospital with cardiac catheterization capabilities