Hafnarstræti 78, 600 Akureyri, first floor, apartment 103. Three-story concrete building constructed in 1968. Main entrance has a coded lock. No elevator, stairwell access only. Street parking is available. The building has a basic fire alarm system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6828° N, 18.0914° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing severe chest pain. Primary symptoms: 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, previous angina diagnosis. Medications: Atorvastatin 20mg daily, Ramipril 5mg daily, Aspirin 75mg daily, Metoprolol 50mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient started experiencing mild chest discomfort 1420 hours: Chest pain increased in intensity, radiating to left arm 1425 hours: Patient became diaphoretic and short of breath 1428 hours: Patient called his son for help 1430 hours: Son arrived and called emergency services 1432 hours: Current time, patient still experiencing severe chest pain Prior Events: Patient has a history of angina, experiences chest pain with exertion. Has not had any recent changes in medication. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, but son lives nearby.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a serious cardiac event based on classic symptoms - Chest pain radiating to left arm and jaw, diaphoresis, shortness of breath - Time-sensitive condition requiring prompt medical evaluation and treatment Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and rest pain) 3. Aortic Dissection (lower probability, no tearing pain) 4. Pulmonary Embolism (lower probability, no pleuritic pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG acquisition and analysis - Oxygen administration and pain management - Preparation for transport to nearest hospital with cardiac services