Hafnarstræti 18, 600 Akureyri. Second floor office, accessed via external staircase or elevator inside the main entrance. The building is a 3-story commercial building constructed in 1995, with a mix of offices and retail spaces. There is one main entrance on Hafnarstræti, with a secondary access point from the back parking area. The building is equipped with a basic fire alarm system. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.6825° N, 18.0915° W. Nearest landmark: Akureyri Art Museum.
56-year-old male, experiencing severe chest pain. Primary symptoms: Sudden onset of crushing chest pain, radiating to left arm and jaw, shortness of breath, diaphoresis. Patient is pale and anxious. Secondary symptoms: Nausea, dizziness. Patient is sitting in his office chair. Medical history: Hypertension diagnosed 5 years ago, hypercholesterolemia. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a sandwich at 12:30.
Timeline: 1345 hours: Patient reports sudden onset of severe chest pain while working at his desk. 1346 hours: Patient attempts to stand, experiences dizziness and shortness of breath. 1347 hours: Patient calls his colleague for help. 1348 hours: Colleague arrives, calls emergency services. 1350 hours: Current time, patient is pale, diaphoretic, and in severe pain. Prior Events: Patient reports experiencing mild chest discomfort intermittently for the past week, which he attributed to indigestion. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient is a smoker and reports moderate physical inactivity.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - Classic presentation of AMI with severe chest pain, radiation, diaphoresis, and shortness of breath - High probability of a life-threatening cardiac event - Time-sensitive condition requiring rapid medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and sudden onset) 3. Aortic Dissection (lower probability, no reported tearing pain) 4. Pulmonary Embolism (lower probability, no reported pleuritic pain) 5. Panic Attack (less likely given the presence of diaphoresis and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Administration of oxygen and aspirin - Preparation for transport to the nearest hospital with cardiac catheterization lab