Hafnarstræti 7, 600 Akureyri, ground floor of the building. Two-story wooden building constructed in 1920. Main entrance at street level, no stairs. No elevator. Street parking available. Building equipped with basic fire alarm. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6838° N, 18.0899° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing severe shortness of breath. Primary symptoms: Difficulty breathing, wheezing, chest tightness. Patient reports sudden onset of symptoms. Secondary symptoms: Mild cyanosis around lips, anxiety, productive cough with small amount of white sputum. Patient is conscious but distressed. Patient sitting upright in a chair in his living room. Medical history: COPD diagnosed 5 years ago, hypertension, type 2 diabetes. Medications: Salbutamol inhaler (as needed), Fluticasone/Salmeterol inhaler (twice daily), Metformin 500mg twice daily, Lisinopril 10mg daily. Known allergy to penicillin. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient started feeling slightly short of breath while resting. 1445 hours: Symptoms worsened rapidly, with severe difficulty breathing and wheezing. 1450 hours: Patient attempted to use salbutamol inhaler, with minimal relief. 1455 hours: Patient called his son for help. 1500 hours: Son arrived, called emergency services. 1503 hours: Current time, patient is still experiencing severe respiratory distress. Prior Events: Patient reports frequent COPD exacerbations, typically managed at home with increased inhaler use. No recent hospitalizations. Last medical check-up 2 months ago, routine follow-up. Patient lives with his wife, who is currently out grocery shopping.
Initial Impression: Acute COPD Exacerbation Justification for F2 Classification: - High probability of respiratory compromise based on COPD history and acute symptoms - Patient experiencing severe dyspnea, wheezing, and cyanosis - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute COPD Exacerbation (high probability) 2. Pneumonia (less likely, no reported fever) 3. Pulmonary Embolism (less likely, no reported chest pain) 4. Acute Heart Failure (less likely, no reported leg edema or orthopnea) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and monitoring - Bronchodilator administration - Preparation for transport to nearest hospital with respiratory support