Hafnarstræti 19, 600 Akureyri, third floor, apartment 3B. Five-story concrete building built in 1995. Main entrance with a key code and intercom. Elevator and central stairwell. Street parking available, sometimes limited. Fire alarm system installed. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6831° N, 18.0935° W. Nearest landmark: Hof Cultural and Conference Center.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis. Patient reports feeling lightheaded and anxious. Patient is pale and appears distressed. Secondary symptoms: Nausea. Medical history: Hypertension, hyperlipidemia, Type 2 Diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily, Aspirin 81mg daily. Known allergy to penicillin. Last meal was a sandwich at 11:00.
Timeline: 1215 hours: Patient started experiencing mild chest discomfort while walking home from the grocery store. 1220 hours: Chest pain intensified, radiating to left arm and jaw, accompanied by shortness of breath. 1222 hours: Patient became diaphoretic and lightheaded. Patient called his son. 1225 hours: Son arrived and called emergency services. Patient is currently sitting on a chair in his living room. Prior Events: Patient has a history of stable angina, but reports this pain is significantly worse. He has been non-compliant with his diet and exercise recommendations for the past month. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a life-threatening cardiac event based on symptoms - Severe chest pain, radiating to left arm and jaw, diaphoresis, shortness of breath - Patient has multiple risk factors for cardiac disease - Time-sensitive condition requiring rapid intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (likely, but symptoms suggest AMI) 3. Aortic Dissection (less likely, no reported tearing pain) 4. Pulmonary Embolism (less likely, no recent surgery or immobilization) 5. Esophageal Spasm (less likely, pain is more severe and typical of cardiac origin) 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