Hafnarstræti 23, 600 Akureyri, ground floor of a two-story wooden building, built in 1955. Main entrance has a small step. No elevator. Street parking is available. Building has a basic fire alarm system. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6832° N, 18.0911° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe shortness of breath. Primary symptoms: Labored breathing, wheezing, chest tightness, cyanosis around lips. Patient is conscious but agitated. Secondary symptoms: Productive cough with thick yellow sputum, mild fever. Patient is sitting upright in a chair. Medical history: COPD diagnosed 5 years ago, previous pneumonia 2 years ago. Medications: Salbutamol inhaler (as needed), Tiotropium inhaler (daily), Prednisone 5mg (daily). Allergies: Penicillin. Last meal was soup at 12:00.
Timeline: 1300 hours: Patient started experiencing mild shortness of breath. 1330 hours: Symptoms worsened, with increased wheezing and chest tightness. 1400 hours: Patient started coughing up yellow sputum. 1415 hours: Patient became more distressed, with visible cyanosis around lips. 1420 hours: Patient called emergency services. Prior Events: Patient had a mild cold last week. No recent hospitalizations. Last COPD check-up 6 months ago. Patient lives alone. Smokes 1 pack of cigarettes per day.
Initial Impression: Acute Exacerbation of COPD with Possible Lower Respiratory Tract Infection. Justification for F2 Classification: - Patient experiencing significant respiratory distress with cyanosis. - Time-sensitive condition requiring rapid intervention to prevent respiratory failure. - History of COPD with acute worsening symptoms. Differential Diagnoses: 1. Acute Exacerbation of COPD (most likely) 2. Pneumonia (possible, based on productive cough and fever) 3. Pulmonary Embolism (less likely, no sudden onset of chest pain) 4. Acute Heart Failure (less likely, no history of heart failure) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - Bronchodilator therapy - Preparation for transport to nearest hospital with respiratory support.