Hafnarstræti 23, 600 Akureyri. Ground floor of a two-story commercial building, converted to office spaces. Main entrance is accessible from the street, with a small ramp for wheelchair access. No elevators. Building is of concrete construction, built in 1995. Street parking available. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6821° N, 18.0915° W. Nearest landmark: Akureyri Art Museum.
52-year-old male, experiencing sudden onset of severe shortness of breath. Primary symptoms: Difficulty breathing, wheezing, chest tightness, cyanosis around lips. Patient is conscious but agitated. Secondary symptoms: Increased heart rate, sweating. Patient is sitting upright in his office chair. Medical history: Asthma diagnosed in childhood, managed with inhalers. No known allergies. Medications: Salbutamol inhaler (as needed), Fluticasone inhaler (daily). Last meal was a sandwich at 12:00.
Timeline: 1330 hours: Patient reported feeling slightly unwell, mild cough 1345 hours: Patient began experiencing increasing shortness of breath 1350 hours: Patient used his salbutamol inhaler with minimal relief 1355 hours: Patient's breathing became labored, chest tightness 1400 hours: Patient called emergency services Prior Events: Patient has had occasional asthma exacerbations, usually managed at home. Last asthma attack was 6 months ago, resolved with inhaler use. No recent illnesses or infections. Last medical check-up 2 months ago, routine follow-up. Patient is a non-smoker.
Initial Impression: Severe Asthma Exacerbation Justification for F2 Classification: - Acute respiratory distress with signs of airway obstruction - Patient has known history of asthma, now presenting with severe symptoms - Potential for rapid deterioration if not treated promptly Differential Diagnoses: 1. Severe Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely, no known allergies or recent exposures) 3. Pulmonary Embolism (less likely, no risk factors or sudden chest pain) 4. Acute Bronchitis (less likely, more gradual onset of symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and assisted ventilation if necessary - Bronchodilator administration - Preparation for transport to nearest hospital with respiratory services