Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. Five-story concrete residential building constructed in 1995. Main entrance with intercom system. Elevator and central stairwell access. Street parking available. Building has a fire alarm system. Current conditions: 7°C, overcast, light breeze, good visibility. GPS coordinates: 65.6823° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
65-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 reports feeling very anxious and lightheaded. Secondary symptoms: Nausea, pale skin. Patient sitting on a chair in his living room. Medical history: History of hypertension, hypercholesterolemia, and type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1410 hours: Patient started experiencing mild chest discomfort. 1415 hours: Chest pain intensified, radiating to left arm and jaw. 1417 hours: Patient became short of breath and diaphoretic. 1420 hours: Patient called emergency services. 1422 hours: Current time, patient sitting down, reporting severe chest pain. Prior Events: Patient reports occasional mild chest discomfort in the past month, attributed to indigestion. Last medical check-up 6 months ago, routine follow-up. No recent hospitalizations or surgeries. Patient lives alone.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a life-threatening cardiac event based on classic symptoms - Severe chest pain, radiating pain, shortness of breath, diaphoresis - 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 tearing pain reported) 4. Pulmonary Embolism (lower probability, no risk factors reported) 5. Pericarditis (less likely given presentation) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Preparation for transport to nearest hospital with cardiac services