Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building built in 1935. Main entrance has a single door, no security system. Street parking available. Building is in good condition. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6818° N, 18.0892° W. Nearest landmark: Akureyri Art Museum.
42-year-old male, experiencing severe shortness of breath. Primary symptoms: Wheezing, severe dyspnea, use of accessory muscles, unable to speak in full sentences. Secondary symptoms: Mild chest tightness, agitation. Patient is conscious but distressed. Skin is pale and diaphoretic. Patient is sitting upright on a chair in his office. Medical history: Asthma diagnosed in childhood, seasonal allergies. Medications: Salbutamol inhaler (Ventolin) as needed, Fluticasone inhaler (Flovent) 250mcg twice daily. Known allergy to pollen. Last meal was a sandwich at 12:00.
Timeline: 13:30 hours: Patient started feeling mild shortness of breath 13:45 hours: Symptoms worsened rapidly, severe wheezing started 13:50 hours: Patient used his Salbutamol inhaler, no relief 13:55 hours: Patient called emergency services 13:57 hours: Current time, patient is still experiencing severe respiratory distress Prior Events: Patient reports having had a cold for the past 3 days, no prior hospitalizations for asthma. Last medical check-up 6 months ago, routine follow-up. Patient has not taken any new medications or been exposed to any new allergens recently.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Severe respiratory distress with significant wheezing and use of accessory muscles - Failure of initial bronchodilator treatment - Time-sensitive condition requiring immediate medical intervention to prevent respiratory failure Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely given no known exposure to allergens other than pollen) 3. Acute Bronchitis (less likely given severity of symptoms and known history of asthma) 4. Pneumonia (less likely given acute onset of symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and nebulized bronchodilators - Continuous monitoring of respiratory status - Preparation for transport to nearest hospital with respiratory services