Hafnarstræti 96, 600 Akureyri, ground floor of a two-story commercial building, converted to a small office. The building is approximately 50 years old, concrete construction with a single main entrance facing the street. There are large windows along the street front. Access is via a single door with a standard lock. No security system. Current conditions: 7°C, overcast, light wind, good visibility. GPS coordinates: 65.6810° N, 18.0880° W. Nearest landmark: Hof Cultural and Conference Center.
52-year-old male, experiencing sudden onset chest pain. Primary symptoms: severe, crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis, nausea. Patient appears pale and anxious. Medical history: hypertension, hyperlipidemia, smoker (20 pack-years). Medications: Amlodipine 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1345 hours: Patient experienced sudden onset of chest pain while at his desk working. 1346 hours: Pain increased in intensity, radiating to left arm and jaw. Patient became short of breath and diaphoretic. 1347 hours: Patient felt nauseous and asked colleague for help. 1348 hours: Colleague called emergency services. 1350 hours: Current time, patient is sitting on a chair, pale and distressed. Prior Events: Patient has experienced occasional mild chest discomfort in the past few months but dismissed it as indigestion. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of acute cardiac event based on classic symptoms (chest pain, radiation, diaphoresis, shortness of breath) - Patient has multiple risk factors for cardiac disease (hypertension, hyperlipidemia, smoking) - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Acute Myocardial Infarction (AMI) (high probability) 2. Angina Pectoris (less likely given severity and duration of pain) 3. Pulmonary Embolism (less likely given lack of risk factors for PE) 4. Aortic Dissection (less likely given lack of tearing pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG acquisition and interpretation on scene - Administration of aspirin and oxygen if indicated - Preparation for transport to nearest hospital with cardiac catheterization lab