Hafnarstræti 23, 600 Akureyri. Third-floor office in a 4-story commercial building built in 1985. Access via main entrance on Hafnarstræti, with a keycard for after-hours access. Elevator and stairwell available. Building has a fire alarm system and emergency lighting. Current conditions: 7°C, clear skies, good visibility. GPS coordinates: 65.6818° N, 18.0897° W. Nearest landmark: Akureyri Art Museum.
52-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Patient reports feeling lightheaded and nauseous. Secondary symptoms: Palpitations, anxiety. Patient is conscious but distressed. Skin pale and clammy. Patient is in his office, sitting at his desk. Medical history: Hypertension, hypercholesterolemia, smoker (1 pack/day for 30 years). Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was lunch at 12:00, a sandwich and coffee.
Timeline: 1415 hours: Patient reports sudden onset of chest pain while working at his desk. 1416 hours: Pain intensifies, radiates to left arm. Patient becomes diaphoretic and short of breath. 1417 hours: Patient calls his colleague for help. 1418 hours: Colleague arrives, calls emergency services. 1420 hours: Current time, patient is still at his desk, pale and distressed. Prior Events: Patient reports occasional mild chest discomfort in the past, attributed to indigestion. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient has a family history of heart disease (father had a heart attack at 60).
Initial Impression: Suspected Acute Myocardial Infarction (AMI) Justification for F2 Classification: - High probability of cardiac event based on classic symptoms: severe chest pain, radiation, diaphoresis, shortness of breath - Time-sensitive condition requiring prompt medical evaluation and intervention - Potential for life-threatening complications Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Angina Pectoris (less likely given severity of pain) 3. Aortic Dissection (less likely, no tearing pain) 4. Pulmonary Embolism (less likely, no risk factors reported) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Aspirin administration - Preparation for transport to nearest hospital with cardiac services