Hafnarstræti 18, 600 Akureyri. A three-story building, constructed in 1960, with a mix of commercial and residential units. The emergency is on the first floor, in a small office space. The main entrance is on Hafnarstræti, with a secondary entrance from the back alley. No security features. The weather is clear, 7°C, with good visibility. GPS coordinates: 65.6822° N, 18.0915° W. Nearest landmark: Akureyri Art Museum.
55-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain, radiating to the left arm, shortness of breath, diaphoresis. Patient is pale, anxious and appears distressed. History of smoking. Secondary symptoms: Nausea, dizziness. Patient is conscious but agitated. Sitting on a chair in his office. Medical history: Hyperlipidemia, family history of heart disease. Medications: Atorvastatin 20mg daily, Ramipril 5mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1310 hours: Patient was working at his desk when he experienced a sudden onset of severe chest pain. 1312 hours: Pain intensified, patient started to sweat and feel short of breath. 1313 hours: Patient called his colleague for help 1315 hours: Colleague called emergency services 1317 hours: Current time, patient is still experiencing severe chest pain and appears increasingly distressed. Prior Events: Patient reports occasional episodes of mild chest discomfort in the past few months, but never this severe. He has been under stress at work lately. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up.
Initial Impression: Suspected Acute Myocardial Infarction (Heart Attack) Justification for F2 Classification: - High probability of a life-threatening cardiac event based on classic symptoms - Severe chest pain, radiating to the arm, shortness of breath, diaphoresis - Time-sensitive condition requiring rapid medical intervention to minimize myocardial damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and duration) 3. Aortic Dissection (lower probability, no reported back pain) 4. Pulmonary Embolism (less likely given lack of risk factors) 5. Esophageal Spasm (less likely given the radiation of pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Pain management protocols initiation - Preparation for transport to nearest hospital with cardiology services