Hafnarstræti 21, 600 Akureyri. Ground floor of a two-story commercial building, built in 1965. Main entrance on the street level, no steps. No elevator. Street parking available. Building has large glass windows on the street side. Current conditions: 7°C, overcast, light wind. GPS coordinates: 65.6813° N, 18.0920° W. Nearest landmark: Akureyri Art Museum.
35-year-old male, experiencing severe shortness of breath. Primary symptoms: Wheezing, chest tightness, difficulty speaking in full sentences, use of accessory muscles for breathing. Patient reports sudden onset of symptoms. Secondary symptoms: Mild cyanosis around lips, anxious and agitated. Patient is conscious but struggling to breathe. Patient is sitting upright on a chair in his office. Medical history: Diagnosed with asthma at age 10. Allergies: Pollen, dust mites. Medications: Salbutamol inhaler (Ventolin) 100mcg PRN, Fluticasone inhaler (Flixotide) 250mcg BID. Last meal was a sandwich at 12:00.
Timeline: 1300 hours: Patient reports feeling mild chest tightness. 1315 hours: Symptoms worsen rapidly, with onset of wheezing and difficulty breathing. 1320 hours: Patient attempts to use his Salbutamol inhaler, with minimal relief. 1325 hours: Patient calls emergency services. 1327 hours: Current time, patient is in significant respiratory distress. Prior Events: Patient reports a recent upper respiratory infection two weeks ago. He reports mild asthma symptoms controlled with inhalers. No recent hospitalizations or emergency room visits. Patient works in an office setting.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Moderate to severe respiratory distress with signs of hypoxia - Failure of usual asthma medication to provide relief - Risk of rapid deterioration requiring urgent medical intervention Differential Diagnoses: 1. Acute Asthma Exacerbation (most likely) 2. Anaphylaxis (less likely, no known triggers) 3. Pneumonia (less likely, no fever reported) 4. Pulmonary Embolism (unlikely, no risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration as quickly as possible - Bronchodilator medication administration - Preparation for transport to nearest hospital