Hafnarstræti 18, 600 Akureyri. First floor of a three-story mixed-use building, commercial on the ground floor, apartments above. Main entrance on the street level, no elevator. Building is of older construction, likely built before 1960. Single entry door with no security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6827° N, 18.0899° W. Nearest landmark: Hof Cultural and Conference Center.
68-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm and jaw, shortness of breath, diaphoresis. Patient reports sudden onset of symptoms approximately 20 minutes ago. Secondary symptoms: Nausea, dizziness. Patient is pale and anxious. Patient is sitting on a chair in the office area. Medical history: Hypertension, hyperlipidemia, previous angina. Medications: Amlodipine 10mg daily, Atorvastatin 20mg daily, Aspirin 75mg daily, Nitroglycerin spray PRN. Known allergy to penicillin. Last meal was lunch at 12:00.
Timeline: 1400 hours: Patient experienced sudden onset of severe chest pain while working at his desk. 1405 hours: Pain intensified, radiating to left arm and jaw, shortness of breath started. 1408 hours: Patient became diaphoretic and nauseous. 1410 hours: Patient self-administered one dose of Nitroglycerin spray with minimal relief. 1415 hours: Patient called emergency services. 1418 hours: Current time, patient is still experiencing severe chest pain, awaiting EMS. Prior Events: Patient had an episode of angina 6 months ago, treated with medication. No recent hospitalizations or surgeries. Last medical check-up 2 months ago, routine follow-up. Patient has a family history of heart disease.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of acute cardiac event based on symptoms, history, and risk factors. - Severe chest pain radiating to the left arm and jaw, diaphoresis, shortness of breath are indicative of AMI. - Time-sensitive condition requiring prompt medical intervention to minimize myocardial damage. Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (less likely given severity and duration) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no specific risk factors reported) 5. Musculoskeletal Chest Pain (less likely given severity and radiation) Required Actions: - Dispatch of ground EMS with ALS capabilities. - Initiation of cardiac monitoring and oxygen administration. - Preparation for rapid transport to hospital with cardiac catheterization capabilities. - Early notification of hospital emergency department.