Hafnarstræti 18, 600 Akureyri. Second floor of a three-story commercial building, built in 1965, with a mix of retail and office spaces. Main entrance on Hafnarstræti, with a secondary entrance from the back alley. No elevator, access via a central stairwell. Street parking available. Building equipped with basic fire alarm system. Current conditions: 7°C, clear skies, good visibility. GPS coordinates: 65.6812° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Patient reports feeling lightheaded. Secondary symptoms: Nausea. Patient is conscious but anxious. Skin is pale and clammy. Patient is sitting in his office chair. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 20mg daily, Aspirin 75mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 13:45 hours: Patient started experiencing mild chest discomfort. 13:50 hours: Chest pain intensified, radiating to left arm. 13:52 hours: Patient became short of breath and started sweating profusely. 13:55 hours: Patient called his colleague for assistance, who then called emergency services. 13:58 hours: Current time, patient is still experiencing severe chest pain and shortness of breath. Prior Events: Patient reports occasional chest discomfort in the past month, attributing it to indigestion. No recent hospitalizations. Last medical check-up 6 months ago, routine follow-up. Patient has a history of smoking (quit 5 years ago) and family history of heart disease.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of life-threatening cardiac event based on symptoms and risk factors - Severe chest pain, radiating to left arm, diaphoresis, and shortness of breath - Time-sensitive condition requiring rapid medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and radiation of pain) 3. Aortic Dissection (less likely given absence of tearing pain) 4. Pulmonary Embolism (possible but less likely given presentation) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG acquisition - Administration of oxygen - Preparation for transport to nearest hospital with cardiac catheterization lab