Hafnarstræti 18, 600 Akureyri, ground floor, main entrance. Two-story wooden building, built in 1935, with a single main entrance facing the street. Street parking available. No known security features. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6823° N, 18.0892° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain, radiating to the left arm, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious but anxious. Skin pale and clammy. Patient sitting on a chair in his office. Medical history: Hypertension, hyperlipidemia, previous episode of angina. Medications: Amlodipine 10mg daily, Atorvastatin 20mg daily, Aspirin 75mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 14:15 hours: Patient started experiencing mild chest discomfort. 14:20 hours: Discomfort intensified into severe chest pain, radiating to left arm. 14:22 hours: Patient became short of breath, started sweating, and felt nauseous. 14:25 hours: Patient called emergency services. 14:27 hours: Current time, patient is still experiencing severe chest pain. Prior Events: Patient has a history of angina, with last episode 6 months ago. Last medical check-up 2 months ago, routine follow-up. Patient has been under some stress at work recently. No recent illnesses or injuries.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a cardiac event based on classic presentation (chest pain, radiation, diaphoresis) - Patient's history of angina and risk factors increase the likelihood of AMI - Time-sensitive condition requiring prompt medical intervention to minimize myocardial damage Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely differential given history) 3. Aortic Dissection (less likely, no reported tearing pain) 4. Pulmonary Embolism (less likely, no reported pleuritic pain or hemoptysis) 5. Musculoskeletal Chest Pain (less likely given the severity and radiation of pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Aspirin administration - Preparation for transport to nearest hospital with cardiac catheterization lab