Hafnarstræti 9, 600 Akureyri, ground floor of a two-story wooden building, built in 1935. Main entrance facing the street, with a small step. No elevator. Street parking available. Building is a former shop converted into apartments. Current conditions: 8°C, cloudy, good visibility. GPS coordinates: 65.6819° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing sudden onset of severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm and jaw, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is conscious but anxious. Skin pale and clammy. Patient is sitting on a chair in his living room. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 500mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. Known allergy: Penicillin. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient started experiencing chest discomfort while watching TV. 1420 hours: Chest pain intensified, radiating to left arm and jaw, accompanied by shortness of breath and sweating. 1422 hours: Patient felt dizzy and nauseous. 1425 hours: Patient called emergency services. 1427 hours: Current time, patient still sitting on chair, experiencing severe chest pain. Prior Events: Patient reports occasional mild chest discomfort in the past few months, which he attributed to indigestion. No recent hospitalizations. Last check-up 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of AMI based on classic symptoms: severe chest pain, radiation, shortness of breath, diaphoresis - Potential life-threatening condition requiring prompt medical intervention - Time-sensitive condition necessitating rapid transport to hospital with cardiac capabilities 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 back pain) 4. Pulmonary Embolism (less likely, no reported leg pain or risk factors) 5. Esophageal Spasm (less likely given associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and monitoring - 12-lead ECG acquisition - IV access and potential medication administration - Immediate transport to nearest hospital with PCI capability