Hafnarstræti 23, 600 Akureyri, ground floor of a two-story wooden building, built in 1955, with a single main entrance at street level. No elevator. Street parking available. No security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6831° N, 18.0929° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing sudden onset of severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Patient is conscious and anxious. Secondary symptoms: Nausea, dizziness. Patient is sitting in a chair in his office. Medical history: Hypertension, hypercholesterolemia, family history of heart disease. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient felt a sudden onset of severe chest pain while working at his desk 1432 hours: Pain intensified, patient became short of breath and diaphoretic 1433 hours: Patient called his son for help, who then called emergency services 1435 hours: Current time, patient still in chair, complaining of severe chest pain Prior Events: Patient reports occasional mild chest discomfort in the past few months, attributed to indigestion. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient has a sedentary job.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of cardiac event based on symptom presentation and risk factors - Severe chest pain, radiating to left arm, shortness of breath, diaphoresis - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and new onset) 3. Aortic Dissection (less likely, no reported tearing pain) 4. Pulmonary Embolism (less likely, no recent travel or prolonged immobility) 5. Musculoskeletal Pain (less likely, pain is not positional) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration and IV access - Pain management protocols initiation - Preparation for transport to nearest hospital with cardiac services