Hafnarstræti 21, 600 Akureyri, ground floor of a two-story commercial building. Main entrance faces the street, with a secondary entrance at the rear. Building is of concrete construction, built in 1965. No elevator. Street parking available. The building is equipped with a basic fire alarm system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6810° N, 18.0895° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is pale and anxious. Patient is sitting in a chair in his office. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 500mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. Known allergy: Penicillin (rash). Last meal was a light lunch at 12:30.
Timeline: 1345 hours: Patient experienced sudden onset of chest pain while working at his desk. 1346 hours: Pain intensified, radiating to left arm. Patient became diaphoretic and short of breath. 1347 hours: Patient felt nauseous and dizzy. He called his son for assistance. 1350 hours: Son arrived and called emergency services. 1352 hours: Current time, patient is still sitting in his chair, experiencing severe chest pain. Prior Events: Patient had a similar episode of chest pain one year ago, which was diagnosed as stable angina. He has not had any recent changes to his medication regimen. Last check-up was 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: - High probability of a life-threatening cardiac event based on symptoms and history. - Severe chest pain, radiation to left arm, shortness of breath, diaphoresis, nausea. - Time-sensitive condition requiring rapid intervention to minimize myocardial damage. Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (less likely given severity of pain) 3. Aortic Dissection (less likely given no reported tearing pain) 4. Pulmonary Embolism (less likely given no reported pleuritic pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate initiation of cardiac protocols - ECG acquisition and interpretation - Preparation for transport to nearest hospital with cardiac catheterization lab