Hafnarstræti 18, 600 Akureyri, ground floor retail space. Single-story commercial building constructed in 1965, renovated in 2010. Main entrance directly from street level. No elevator. Street parking available. Building has a basic security system with a single key lock. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6823° N, 18.0915° W. Nearest landmark: Akureyri Art Museum.
52-year-old male, experiencing severe shortness of breath. Primary symptoms: Marked dyspnea, wheezing, use of accessory muscles for breathing, cyanosis around lips. Secondary symptoms: Anxiety, diaphoresis, chest tightness. Patient is conscious but struggling to speak. Patient is sitting upright in a chair. Medical history: Asthma diagnosed in childhood, recent upper respiratory infection 3 days ago, no known allergies. Medications: Salbutamol inhaler (2 puffs as needed), Fluticasone inhaler (2 puffs daily). Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient began feeling mild shortness of breath 1415 hours: Symptoms worsened, began using salbutamol inhaler without relief 1425 hours: Patient developed severe dyspnea, wheezing, and chest tightness 1430 hours: Patient called his coworker for help, coworker called emergency services 1432 hours: Current time, patient is conscious but struggling to breathe Prior Events: Patient reports having a cold for the past 3 days, treated with over-the-counter cold medications. Reports occasional asthma exacerbations in the past, typically resolved with inhaler use. No recent hospitalizations or emergency room visits. Patient is a store clerk and was working at the time of symptom onset.
Initial Impression: Severe Asthma Exacerbation Justification for F2 Classification: - Respiratory distress with signs of severe airway obstruction - Potential for rapid deterioration to respiratory failure - Time-sensitive condition requiring immediate medical intervention Differential Diagnoses: 1. Severe Asthma Exacerbation (high probability) 2. Acute Bronchitis (less likely given rapid onset and severity) 3. Pulmonary Embolism (less likely given patient history) 4. Anaphylaxis (less likely given no known allergies or exposure) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Nebulized bronchodilator administration - Preparation for possible intubation and mechanical ventilation - Rapid transport to nearest hospital with respiratory support