Hafnarstræti 23, 600 Akureyri, ground floor of a two-story wooden building built in 1955. Main entrance on the street level, no stairs. No elevator. Street parking available. Building has basic security with a simple lock on the main door. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6822° N, 18.0909° W. Nearest landmark: Hof Cultural and Conference Center.
35-year-old male, experiencing severe shortness of breath and wheezing. Primary symptoms: Difficulty breathing, audible wheezing, chest tightness. Secondary symptoms: Increased heart rate, anxiety, pale skin. Patient is conscious but struggling to speak in full sentences. Patient is sitting upright in a chair in his office. Medical history: Known asthma since childhood, seasonal allergies. Medications: Salbutamol inhaler (2 puffs as needed), Beclomethasone inhaler (2 puffs twice daily). No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1300 hours: Patient began experiencing mild shortness of breath 1315 hours: Symptoms worsened, difficulty breathing and audible wheezing started 1320 hours: Patient used his Salbutamol inhaler with no improvement 1325 hours: Patient called emergency services 1327 hours: Current time, patient still experiencing severe respiratory distress Prior Events: Patient reports a recent upper respiratory infection last week. Increased pollen count reported in the area. Patient has had similar, but less severe, asthma attacks in the past. Last medical check-up 6 months ago, routine follow-up. Patient works in an office, alone at the time of the incident.
Initial Impression: Severe Asthma Exacerbation Justification for F2 Classification: - Patient experiencing significant respiratory distress with wheezing - Lack of improvement after using a bronchodilator - Potential for rapid deterioration requiring immediate intervention Differential Diagnoses: 1. Severe Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely, no known allergies or exposure) 3. Acute Bronchitis (less likely, symptoms more severe) 4. Pulmonary Embolism (low probability, no risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - Administration of supplemental oxygen - Nebulized bronchodilator administration - Continuous monitoring of respiratory status - Preparation for transport to nearest hospital