Hafnarstræti 22, 600 Akureyri, third floor apartment 3B. Five-story concrete residential building constructed in 1995. Main entrance has a key code, 2468. There is an elevator and a central stairwell. Street parking available. The building has a fire suppression system. Current conditions: 7°C, clear skies, good visibility. GPS coordinates: 65.6812° N, 18.0895° W. Nearest landmark: Hof Cultural and Conference Center.
45-year-old male, experiencing severe shortness of breath. Primary symptoms: Significant difficulty breathing, wheezing, chest tightness, and productive cough with yellow phlegm. Patient is conscious but anxious and struggling to speak in full sentences. Secondary symptoms: Increased heart rate, diaphoresis. Patient is sitting upright on the edge of his bed. Medical history: Asthma diagnosed in childhood, seasonal allergies. Medications: Salbutamol inhaler (Ventolin) 100 mcg as needed, Fluticasone inhaler (Flixotide) 250 mcg twice daily. Known allergy to pollen. Last meal was a light lunch at 13:00.
Timeline: 1500 hours: Patient started experiencing mild shortness of breath. 1515 hours: Symptoms worsened, patient used his salbutamol inhaler with minimal relief. 1530 hours: Symptoms continued to escalate, patient developed significant wheezing and chest tightness. 1540 hours: Patient called emergency services, current time. Prior Events: Patient reports a recent upper respiratory infection three days ago. He states that his asthma has been poorly controlled over the past month. He has been using his salbutamol inhaler more frequently than usual. He has not been to a doctor in the last 6 months. Patient lives alone.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Severe respiratory distress with significant symptoms of asthma exacerbation - Patient not responding to initial bronchodilator treatment - Potential for rapid deterioration and respiratory failure - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Acute Bronchitis (less likely due to severity of wheezing and chest tightness) 3. Pneumonia (less likely, no reported fever or chills) 4. Anaphylaxis (less likely, no known exposure to allergens) 5. Pulmonary Embolism (less likely, no risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Administration of bronchodilators and corticosteroids - Continuous monitoring of respiratory status - Preparation for transport to nearest hospital with respiratory support