Hafnarstræti 18, 600 Akureyri. First floor of a two-story wooden building, built in 1950. Main entrance faces the street, no elevator. Parking available on the street. Building has basic security, no code needed for access during the day. Current conditions: 8°C, overcast, light breeze. GPS coordinates: 65.6821° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain, radiating to the left arm, shortness of breath, sweating. Patient reports feeling dizzy and nauseous. Secondary symptoms: Pale skin, anxious demeanor. Patient is conscious but distressed. Medical history: Diagnosed with hypertension 5 years ago, hypercholesterolemia, family history of heart disease. Medications: Lisinopril 10mg daily, Atorvastatin 20mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1410 hours: Patient started experiencing mild chest discomfort 1415 hours: Chest pain intensified, radiating to the left arm 1417 hours: Patient started sweating and feeling dizzy 1420 hours: Patient called his son for help 1422 hours: Son arrived, called emergency services 1425 hours: Current time, patient is still experiencing chest pain Prior Events: Patient reports occasional mild chest discomfort in the past few weeks, attributed to indigestion. No prior heart attacks or surgeries. Last medical check-up 6 months ago, routine follow-up. Patient lives with his wife, son lives nearby.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - Classic symptoms of AMI: severe chest pain, radiation, diaphoresis, shortness of breath - Patient risk factors: hypertension, hypercholesterolemia, family history of heart disease - Time-sensitive condition requiring rapid intervention to minimize myocardial damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and duration of pain) 3. Aortic Dissection (less likely, no tearing pain reported) 4. Pulmonary Embolism (less likely, no sudden onset of severe dyspnea) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Administration of Aspirin if not already taken - Preparation for transport to nearest hospital with cardiac catheterization lab