Hafnarstræti 7, 600 Akureyri, ground floor of the old post office building. Single-story stone building built in 1930, with large windows and a main entrance facing the street. One additional back entrance used for deliveries. No elevators, flat access to all rooms. Street parking available. Building equipped with a basic fire alarm system. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6836° N, 18.0914° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing sudden onset chest pain. Primary symptoms: Severe, crushing chest pain radiating to left arm, shortness of breath, diaphoresis, nausea. Patient reports feeling dizzy and lightheaded. Secondary symptoms: Anxiety, pale skin. Patient is conscious but distressed. Patient sitting on a chair in the main office area. Medical history: Diagnosed with hypertension and type 2 diabetes 5 years ago. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 1410 hours: Patient started experiencing mild chest discomfort 1415 hours: Chest pain intensified, radiating to left arm, patient became short of breath 1417 hours: Patient started sweating profusely and feeling nauseous 1420 hours: Patient called his coworker for help, coworker called emergency services 1422 hours: Current time, patient still sitting in chair, reporting severe pain Prior Events: Patient reports occasional mild chest pain episodes in the past, but never this severe. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient has a history of smoking, quit 2 years ago.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - Classic presentation of AMI with severe chest pain, radiation, diaphoresis, and shortness of breath - High risk of life-threatening arrhythmia or cardiac arrest - Time-sensitive condition requiring immediate medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely due to severity and duration of symptoms) 3. Aortic Dissection (lower probability, no back pain reported) 4. Pulmonary Embolism (lower probability, no specific risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate ECG acquisition and interpretation - Oxygen administration - Aspirin administration (if no contraindications) - Preparation for transport to nearest hospital with cardiac catheterization facilities