Hafnargata 23, 465 Bíldudalur. Single-story wooden house, built in 1965. Main entrance is on the street side, with a small porch. No security features. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 65.6889° N, 23.5492° W. Nearest landmark: Bíldudalur harbor.
42-year-old male, experiencing severe allergic reaction after eating shellfish. Primary symptoms: Rapid onset of facial swelling, difficulty breathing, wheezing, and hives. Secondary symptoms: Anxiety, dizziness. Patient is conscious but distressed. Medical history: Known allergy to shellfish, carries an EpiPen, but is unsure of its location. Medications: None currently taken. No other known allergies. Last meal was lunch at 13:00.
Timeline: 1400 hours: Patient ate a seafood soup at a local restaurant. 1410 hours: Patient began experiencing itching and hives. 1415 hours: Symptoms progressed to facial swelling and difficulty breathing. 1418 hours: Patient called emergency services, becoming increasingly anxious. 1420 hours: Current time, patient is struggling to breathe, hives spreading. Prior Events: Patient has had similar reactions in the past, usually mild, but this time is more severe. Patient has not used an EpiPen before, despite having one prescribed. Patient was alone when the reaction began.
Initial Impression: Severe Anaphylactic Reaction Justification for F2 Classification: - Rapid onset of symptoms, including airway compromise (difficulty breathing, wheezing), and systemic involvement (hives, facial swelling). - Patient has a known allergy and is exhibiting signs of a severe reaction, requiring urgent intervention. - Risk of rapid deterioration into life-threatening condition. Differential Diagnoses: 1. Anaphylaxis (high probability) 2. Angioedema (less likely due to presence of hives) 3. Acute Asthma Exacerbation (less likely given sudden onset and known allergy) 4. Panic Attack (less likely given physical symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities. - Immediate oxygen administration. - Search for and administration of EpiPen if available, or prepare for intramuscular epinephrine administration. - Preparation for possible intubation if respiratory distress worsens. - Notification of receiving hospital of potential anaphylactic case.