Hafnarstræti 18, 600 Akureyri, ground floor, apartment 1. Two-story wooden building, built in 1925, with a single main entrance and no elevator. Parking is available on the street. No specific security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6835° N, 18.0911° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe shortness of breath. Primary symptoms: Difficulty breathing, wheezing, chest tightness. Patient is conscious but anxious. Secondary symptoms: Pale skin, productive cough with clear sputum. Patient is sitting upright on a chair. Medical history: COPD diagnosed 5 years ago, hypertension, and a history of smoking. Medications: Salbutamol inhaler (as needed), Fluticasone inhaler (2 puffs twice daily), Lisinopril 10mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient started experiencing mild shortness of breath. 1415 hours: Shortness of breath worsened, accompanied by wheezing. 1420 hours: Patient attempted to use his Salbutamol inhaler with no significant relief. 1425 hours: Patient called his son for help. 1430 hours: Son arrived and called emergency services. 1432 hours: Current time, patient still experiencing severe respiratory distress. Prior Events: Patient has had several exacerbations of COPD in the past year requiring hospitalizations. He has been compliant with his medication regimen. Last medical check-up was 2 months ago, routine follow-up for COPD.
Initial Impression: Acute Exacerbation of COPD Justification for F2 Classification: - Significant respiratory distress with wheezing and difficulty breathing - History of COPD, indicating a high likelihood of acute exacerbation - Patient is conscious but anxious, requiring prompt medical intervention Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (less likely given no fever) 3. Pulmonary Embolism (less likely given no sudden onset) 4. Acute Heart Failure (less likely given lack of edema or history of heart disease) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Administration of bronchodilators - Preparation for transport to nearest hospital with respiratory services