Hafnarstræti 18, 600 Akureyri, Ground floor of a two-story commercial building, built in 1965. Main entrance faces the street with a single glass door. No elevator. Street parking available. Building equipped with basic fire alarm system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6834° N, 18.0916° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe shortness of breath. Primary symptoms: Rapid and labored breathing, chest tightness, productive cough with yellow sputum. Secondary symptoms: Mild cyanosis around lips, anxious demeanor. Patient is sitting upright, leaning forward. Medical history: COPD diagnosed 5 years ago, history of smoking, type 2 diabetes. Medications: Salbutamol inhaler PRN, Fluticasone/Salmeterol inhaler BID, Metformin 500mg BID, Atorvastatin 20mg daily. Known allergy to penicillin. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient began experiencing mild shortness of breath 1415 hours: Shortness of breath worsened, started coughing up yellow sputum 1420 hours: Patient used Salbutamol inhaler with minimal relief 1425 hours: Patient called his son for help 1430 hours: Son arrived, called emergency services 1432 hours: Current time, patient is increasingly distressed, still short of breath Prior Events: Patient reports increased cough and sputum production over the past 3 days, no recent fever. Last COPD exacerbation was 6 months ago, treated with oral steroids and antibiotics. No recent hospitalizations. Last medical check-up 2 months ago, routine follow-up. Patient lives alone, but son lives nearby.
Initial Impression: Acute Exacerbation of COPD with Possible Respiratory Infection Justification for F2 Classification: - Significant respiratory distress, potential for rapid deterioration - Cyanosis indicates possible hypoxemia - Patient history of COPD with recent symptom worsening - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (high probability given productive cough and recent symptom worsening) 3. Pulmonary Embolism (less likely, no reported sudden onset of chest pain) 4. Acute Heart Failure (less likely, no significant edema or past cardiac history) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - Bronchodilator therapy - Preparation for transport to nearest hospital with respiratory services