Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. A five-story mixed-use building, built in 1965, concrete construction with a flat roof. Main entrance has a buzzer system, apartment 3B is on the left when exiting the elevator. One elevator and a central stairwell. Limited street parking. No known security features beyond buzzer system. Current conditions: 8°C, overcast, moderate visibility. GPS coordinates: 65.6812° N, 18.0925° W. Nearest landmark: Akureyri Art Museum.
72-year-old male, experiencing severe shortness of breath. Primary symptoms: Significant difficulty breathing, wheezing, and productive cough with yellowish sputum. Secondary symptoms: Chest tightness, mild confusion, cyanosis around lips. Patient is sitting upright on the edge of his bed, visibly distressed. History of COPD and hypertension. Medications: Salbutamol inhaler (as needed), Fluticasone inhaler (twice daily), Lisinopril 10mg daily. Known allergy to penicillin. Last meal was a light lunch at 12:30.
Timeline: 1400 hours: Patient began experiencing increased shortness of breath 1415 hours: Symptoms worsened, productive cough developed 1420 hours: Patient used salbutamol inhaler with minimal relief 1425 hours: Patient's son arrived and called emergency services 1428 hours: Current time, patient's condition worsening. Prior Events: Patient has a history of COPD diagnosed 10 years ago, with recent exacerbations requiring outpatient treatment. Last hospital visit was 2 months ago for a COPD flare-up. No recent illnesses or injuries reported. Last medical check-up 1 month ago, routine follow-up. Patient lives with his son.
Initial Impression: Acute Exacerbation of COPD with Possible Respiratory Infection Justification for F2 Classification: - Patient experiencing significant respiratory distress with signs of potential infection - History of COPD with recent exacerbations - Cyanosis and confusion indicate potential hypoxia - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (possible, given productive cough and potential infection) 3. Pulmonary Embolism (less likely given gradual onset of symptoms) 4. Acute Heart Failure (less likely given known COPD history) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Bronchodilator administration - Preparation for transport to nearest hospital with respiratory services