Hafnarstræti 18, 600 Akureyri. Ground floor of a two-story commercial building, built in 1965. Main entrance faces the street, no security features. Street parking available. Current conditions: 7°C, overcast, light breeze, good visibility. GPS coordinates: 65.6810° N, 18.0915° W. Nearest landmark: Hof Cultural and Conference Center.
62-year-old male, experiencing sudden onset of severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient alert but anxious. Skin pale and clammy. Patient is sitting on a chair in his office. Medical history: Hypertension, hypercholesterolemia, family history of heart disease. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 12:30.
Timeline: 1400 hours: Patient started feeling mild discomfort in his chest. 1410 hours: Chest pain intensified rapidly, radiating to left arm and jaw. 1412 hours: Patient started feeling short of breath and sweating profusely. 1415 hours: Patient called emergency services. 1417 hours: Current time, patient still in office, sitting down, unable to walk. Prior Events: Patient reports occasional mild chest discomfort in the past, which he attributed to indigestion. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient was working at his desk when symptoms started.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a cardiac event based on classic symptoms (chest pain, radiation, diaphoresis, dyspnea) - Time-sensitive condition requiring immediate medical intervention to minimize myocardial damage - Patient has multiple risk factors for cardiac disease (hypertension, hypercholesterolemia, family history) Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and duration of pain) 3. Aortic Dissection (less likely given no tearing pain) 4. Pulmonary Embolism (less likely given no pleuritic chest pain or risk factors) 5. Esophageal Spasm (less likely given radiation and diaphoresis) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG acquisition and interpretation - Oxygen administration and cardiac monitoring - Aspirin administration if not already taken - Preparation for transport to nearest hospital with cardiac catheterization capabilities