Hafnarstræti 19, 600 Akureyri, ground floor of a two-story wooden building. Constructed in 1948, renovated in 2005. Main entrance is at street level, with no steps. Building has a single main entrance and a back door for emergency exit. No security features. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6831° N, 18.0924° W. Nearest landmark: Akureyri Art Museum.
55-year-old male, experiencing sudden onset of severe shortness of breath. Primary symptoms: severe dyspnea, wheezing, and chest tightness. Secondary symptoms: lightheadedness, anxiety, and productive cough with yellowish sputum. Patient is conscious but distressed. Patient is sitting upright on a chair. Medical history: Asthma diagnosed in childhood, recent upper respiratory infection 3 days ago. Medications: Salbutamol inhaler (as needed), Fluticasone inhaler (twice daily), Loratadine 10mg daily. Allergies: Pollen. Last meal was lunch at 12:00.
Timeline: 1400 hours: Patient reports feeling slightly unwell, mild cough. 1430 hours: Symptoms worsen, developing into severe shortness of breath. 1440 hours: Patient uses salbutamol inhaler, with minimal relief. 1445 hours: Patient calls emergency services, unable to breathe properly. 1448 hours: Current time, patient is sitting upright, struggling to breathe. Prior Events: Patient had a mild cold 3 days ago, which he thought was resolving. No recent hospitalizations or significant health issues. Patient lives alone, but has a neighbor who checks on him daily.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Significant respiratory distress with wheezing and dyspnea - History of asthma, recent respiratory infection, and ineffective bronchodilator use - Potential for rapid deterioration, requiring prompt medical intervention Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Pneumonia (possible, given recent infection) 3. Pulmonary Embolism (less likely, no risk factors reported) 4. Acute Bronchitis (possible, but symptoms are more severe) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Bronchodilator administration via nebulizer if available - Corticosteroid administration if indicated - Preparation for transport to nearest hospital with respiratory services