Hafnarstræti 23, 600 Akureyri. Ground floor of a two-story commercial building, built in 1965, concrete structure. Main entrance faces the street, no security features. Street parking available. Current conditions: 7°C, clear sky, good visibility. GPS coordinates: 65.6817° N, 18.0924° W. Nearest landmark: Akureyri Art Museum.
45-year-old male, experiencing severe shortness of breath. Primary symptoms: Wheezing, difficulty breathing, tightness in chest, rapid breathing. Secondary symptoms: Increased heart rate, mild cyanosis around lips. Patient is conscious but anxious. Patient sitting upright, leaning forward. Medical history: Asthma diagnosed in childhood, uses a blue inhaler as needed, no known allergies. Medications: Salbutamol inhaler, no other regular medications. Last meal was a sandwich at 12:00.
Timeline: 1300 hours: Patient started experiencing mild shortness of breath 1315 hours: Shortness of breath worsened, patient used his inhaler, no relief 1330 hours: Symptoms progressed to severe difficulty breathing, wheezing 1335 hours: Patient called emergency services 1337 hours: Current time, patient still having severe respiratory distress Prior Events: Patient reports several asthma attacks in the past year, typically relieved with inhaler. Last asthma exacerbation 3 months ago, required a short course of oral steroids. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient is a non-smoker. Patient reports recent exposure to dust.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Severe respiratory distress with wheezing and difficulty breathing - Failure to respond to initial inhaler use - Potential for rapid deterioration and respiratory failure - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely, no known allergies or recent exposure) 3. Pneumonia (less likely, no fever or productive cough) 4. Pulmonary Embolism (less likely, no risk factors for DVT) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy administration - Bronchodilator administration (nebulized if available) - Monitoring of vital signs and level of consciousness - Preparation for transport to nearest hospital with respiratory services