Hafnarstræti 9, 600 Akureyri, ground floor of a two-story wooden building, built in 1950, with one main entrance facing the street and a secondary entrance on the side, no elevator, central staircase. Street parking available. No security features. Weather conditions: 8°C, overcast, moderate visibility. GPS coordinates: 65.6823° N, 18.0898° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe chest pain. Primary symptoms: Substernal chest pain, described as crushing, radiating to the left arm, accompanied by shortness of breath and sweating. Secondary symptoms: Nausea, dizziness, and anxiety. Patient is conscious but appears distressed. Skin is pale and clammy. Patient is sitting in a chair in his living room. Medical history: History of hypertension and hypercholesterolemia, previous smoker, no known allergies. Medications: Atorvastatin 20mg daily, Lisinopril 10mg daily, Aspirin 75mg daily. Last meal was a light lunch at 13:00.
Timeline: 14:10 hours: Patient started experiencing mild chest discomfort. 14:20 hours: Chest pain intensified, radiating to the left arm. Patient became short of breath. 14:25 hours: Patient started sweating and felt nauseous. Patient called his son for help. 14:30 hours: Son arrived, called emergency services. 14:32 hours: Current time, patient is sitting in a chair, still experiencing severe chest pain. Prior Events: Patient has had occasional episodes of mild chest discomfort in the past few weeks, attributed to indigestion. Last medical check-up was 6 months ago, routine follow-up. No recent illnesses or injuries. Patient lives alone, but son lives nearby.
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of a cardiac event based on symptoms and risk factors - Severe chest pain, radiating to the arm, with associated shortness of breath and sweating - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity and duration of pain) 3. Aortic Dissection (less likely given no reported back pain) 4. Pulmonary Embolism (less likely given gradual onset) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Aspirin administration if not contraindicated - Preparation for transport to nearest hospital with cardiac care facilities