Hafnarstræti 94, 600 Akureyri, third floor apartment 3B. A four-story mixed-use building with commercial spaces on the ground floor and residential units above. Constructed in 1965, concrete structure. Main entrance with key code access, elevator and central stairwell. Street parking available. Current conditions: 8°C, overcast, light breeze. GPS coordinates: 65.6834° N, 18.0896° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing severe shortness of breath. Primary symptoms: Rapid, labored breathing, wheezing, and productive cough with yellow sputum. Secondary symptoms: Chest tightness, cyanosis around lips, and confusion. Patient is conscious but agitated. Medical history: COPD diagnosed 5 years ago, history of smoking, hypertension. Medications: Salbutamol inhaler (as needed), Fluticasone/Salmeterol inhaler (twice daily), Lisinopril 10mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 1400 hours: Patient began experiencing mild shortness of breath 1430 hours: Shortness of breath worsened, patient used salbutamol inhaler without relief 1445 hours: Patient began coughing up yellow sputum 1500 hours: Patient became increasingly distressed and confused, developed chest tightness 1505 hours: Caller (patient's son) arrived and called emergency services 1508 hours: Current time, patient is struggling to breathe, showing signs of cyanosis Prior Events: Patient had a COPD exacerbation 3 months ago, treated with oral steroids and antibiotics. Patient has not been compliant with smoking cessation advice. Last medical check-up was 6 months ago, routine follow-up for COPD.
Initial Impression: Acute Exacerbation of COPD with Possible Respiratory Infection Justification for F2 Classification: - Significant respiratory distress with wheezing, productive cough, and cyanosis - Potential for rapid deterioration and respiratory failure - Requires prompt medical intervention and possible oxygen therapy Differential Diagnoses: 1. Acute Exacerbation of COPD (most likely) 2. Pneumonia (possible due to yellow sputum) 3. Pulmonary Embolism (less likely, no history of DVT or recent surgery) 4. Acute Heart Failure (less likely, no history of cardiac issues) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Monitoring of vital signs - Preparation for transport to nearest hospital with respiratory services