Hafnarstræti 22, 600 Akureyri, ground floor of a two-story wooden building, built in 1955. Main entrance faces the street, no security features. Street parking available. Building has fire extinguishers and smoke detectors. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6823° N, 18.0925° W. Nearest landmark: Akureyri Art Museum.
70-year-old male, experiencing severe shortness of breath at home. Primary symptoms: Increased difficulty breathing, wheezing, productive cough with yellowish sputum. Patient reports feeling lightheaded and anxious. Secondary symptoms: Cyanosis around lips, use of accessory muscles for breathing. Patient is conscious but appears distressed. Medical history: COPD diagnosed 15 years ago, hypertension, type 2 diabetes. Medications: Salbutamol inhaler 2 puffs as needed, Tiotropium inhaler 1 puff daily, Metformin 500mg twice daily, Lisinopril 10mg daily. Allergies: None known. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient began experiencing increased shortness of breath 1415 hours: Patient used salbutamol inhaler with minimal relief 1420 hours: Symptoms worsened, patient became more anxious 1425 hours: Patient called his son for help 1430 hours: Son arrived and called emergency services 1432 hours: Current time, patient sitting upright, struggling to breathe Prior Events: Patient reports a mild cold for the past three days. No recent hospitalizations. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, but son lives nearby.
Initial Impression: Acute Exacerbation of COPD Justification for F2 Classification: - Significant respiratory distress with symptoms of hypoxemia (cyanosis) - Patient's history of COPD and current symptoms indicate a severe exacerbation - Time-sensitive condition requiring prompt intervention to prevent respiratory failure Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (possible, given recent cold symptoms) 3. Pulmonary Embolism (less likely, no chest pain reported) 4. Acute Heart Failure (less likely, no history of heart disease) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Bronchodilator administration - Preparation for transport to nearest hospital with respiratory services