Hafnarstræti 22, 600 Akureyri, third floor apartment 3B. Five-story concrete building with a mix of commercial and residential units, built in 1985. Main entrance has a keycode and intercom system. One elevator and a central staircase. Street parking available. The building has a fire suppression system. Current conditions: 7°C, overcast, moderate wind, good visibility. GPS coordinates: 65.6823° N, 18.0927° W. Nearest landmark: Akureyri Art Museum.
35-year-old male, experiencing severe shortness of breath. Primary symptoms: Marked wheezing, severe dyspnea, use of accessory muscles, unable to speak in full sentences. Secondary symptoms: Mild chest tightness, anxiety. Patient is conscious but distressed. Skin is pale and diaphoretic. Patient is sitting upright on a chair in his living room. Medical history: Diagnosed with asthma since childhood. Medications: Salbutamol inhaler (Ventolin) as needed, Fluticasone inhaler (Flovent) twice daily. Known allergies: Pollen. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient started feeling mild shortness of breath. 1415 hours: Symptoms worsened, wheezing started. 1430 hours: Patient used his salbutamol inhaler, no relief. 1440 hours: Patient reports increased difficulty breathing, chest tightness. 1445 hours: Patient called emergency services. Current time, patient is sitting up, struggling to breathe. Prior Events: Patient reports a recent upper respiratory infection two weeks ago. Has had several asthma exacerbations in the past year, but none this severe. Last asthma follow-up appointment was 6 months ago. No recent hospitalizations.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Severe respiratory distress, marked wheezing, use of accessory muscles - Patient's condition is rapidly deteriorating, requiring prompt intervention - Potential for respiratory failure if not treated quickly Differential Diagnoses: 1. Acute Asthma Exacerbation (most likely) 2. Anaphylaxis (less likely, no reported exposure to allergens) 3. Pulmonary Embolism (less likely, no chest pain) 4. Pneumothorax (less likely, no reported trauma or sudden onset of pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Administration of oxygen therapy - Bronchodilator administration - Preparation for transport to nearest hospital with respiratory support