Hafnarstræti 19, 600 Akureyri, ground floor apartment 1B. Three-story wooden residential building constructed in 1955. Main entrance at street level, no elevator. One main door with standard lock. Street parking available. Building is not equipped with fire alarm system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6822° N, 18.0899° W. Nearest landmark: Akureyri Art Museum.
42-year-old male, experiencing severe shortness of breath and wheezing. Primary symptoms: Severe dyspnea, audible wheezing, rapid breathing, unable to speak in full sentences. Secondary symptoms: Chest tightness, anxiety, cyanosis around lips. Patient is conscious but appears distressed. Medical history: Diagnosed with asthma since childhood. Medications: Salbutamol inhaler (Ventolin) - last used 2 hours ago with no relief, Fluticasone inhaler (Flovent) - 2 puffs daily, no recent changes. Known allergy to dust mites. Last meal was a light lunch at 12:00. Patient is sitting upright on a chair in his living room.
Timeline: 1300 hours: Patient started feeling mild shortness of breath, attributed to dust 1330 hours: Symptoms worsened, patient used his salbutamol inhaler with no relief 1400 hours: Patient's breathing became labored, developed audible wheezing 1415 hours: Patient contacted his brother for assistance, who called emergency services 1420 hours: Current time, patient is struggling to breathe, cyanotic around lips Prior Events: Patient reports several asthma attacks in the past, last one was 6 months ago, requiring emergency room visit. No recent changes in medication or environment. No recent illnesses or injuries. Last medical check-up 4 months ago, routine follow-up. Patient lives alone, brother lives nearby.
Initial Impression: Severe Asthma Exacerbation Justification for F2 Classification: - Significant respiratory distress, patient unable to speak in full sentences - Audible wheezing, rapid breathing, potential for respiratory failure - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Severe Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely, no known triggers) 3. Acute Bronchitis (less likely, severity and history of asthma) 4. Pulmonary Embolism (lower probability, no risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and respiratory support protocols - Administration of bronchodilators - Preparation for transport to nearest hospital with respiratory services