Hafnarstræti 23, 600 Akureyri, first floor, commercial building. Two-story building, concrete construction, built in 1965. Main entrance facing Hafnarstræti, no elevator, stairs to second floor. Street parking available. Building has a basic security system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6810° N, 18.0888° W. Nearest landmark: Cultural Centre Hof.
65-year-old male, experiencing severe chest pain, onset 15 minutes ago. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, sweating. Patient reports feeling 'like an elephant is sitting on his chest.' Secondary symptoms: Nausea, dizziness. Patient is conscious but anxious. Skin pale and clammy. Patient is sitting on a chair in his office. Medical history: Hypertension, hypercholesterolemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1310 hours: Patient began experiencing mild chest discomfort. 1315 hours: Chest pain intensified, radiating to left arm, shortness of breath, sweating began. 1320 hours: Patient called his son for help. 1322 hours: Son arrived, called emergency services. 1325 hours: Current time, patient is still in severe chest pain, sitting on a chair in his office. Prior Events: Patient reports occasional mild chest discomfort during exertion, no prior cardiac events. Last medical check-up 6 months ago, routine follow-up. Patient is a non-smoker, but has a family history of heart disease. No recent illnesses or injuries.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of life-threatening cardiac event based on symptoms and history - Severe chest pain, radiation, shortness of breath, sweating are classic AMI symptoms - Time-sensitive condition requiring immediate intervention to minimize cardiac damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity of pain and associated symptoms) 3. Aortic Dissection (less likely, no reported tearing pain) 4. Pulmonary Embolism (lower probability, no specific risk factors reported) Required Actions: - Dispatch of ground EMS with ALS capabilities - Initiate cardiac monitoring, oxygen administration, and pain management protocols - Rapid transport to nearest hospital with cardiac catheterization capabilities - Notify hospital of incoming patient with suspected AMI