Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. A five-story reinforced concrete building constructed in 1992. Main entrance has a coded lock (code 1987). Elevator and central stairwell available. Street parking and a small parking lot behind the building. Building has a basic fire suppression system. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.6821° N, 18.0917° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe shortness of breath. Primary symptoms: Rapid and labored breathing, wheezing, chest tightness, use of accessory muscles for breathing. Patient is conscious but anxious. Secondary symptoms: Mild cyanosis around lips, productive cough with small amount of white sputum. Patient is sitting upright on the edge of his bed. Medical history: Chronic Obstructive Pulmonary Disease (COPD) diagnosed 5 years ago, hypertension, type 2 diabetes. Medications: Salbutamol inhaler (2 puffs as needed), Fluticasone/Salmeterol inhaler (1 puff twice daily), Metformin 500mg twice daily, Lisinopril 10mg daily. Allergies: No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1400 hours: Patient started experiencing mild shortness of breath while watching television 1415 hours: Symptoms worsened, patient used his salbutamol inhaler with no relief 1425 hours: Patient's breathing became increasingly labored, chest tightness developed 1430 hours: Patient called his son for help 1435 hours: Son arrived and called emergency services 1437 hours: Current time, patient is still experiencing severe respiratory distress Prior Events: Patient reports a recent upper respiratory infection 2 weeks ago, treated with over-the-counter medications. No recent hospitalizations. Last COPD check-up 4 months ago. Patient lives alone, but son lives nearby.
Initial Impression: Acute Exacerbation of COPD Justification for F2 Classification: - Significant respiratory distress with use of accessory muscles and wheezing - Potential for rapid deterioration and respiratory failure - Time-sensitive condition requiring immediate medical intervention Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (possible, given recent infection) 3. Pulmonary Embolism (less likely, no sudden onset of chest pain) 4. Acute Heart Failure (less likely, no history of cardiac issues) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and respiratory support - Bronchodilator therapy initiation - Preparation for transport to nearest hospital with respiratory services