Hafnarstræti 18, 600 Akureyri. Ground floor of a two-story wooden building constructed in 1955. Main entrance at street level with no steps. No security features. Parking available on street. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6821° N, 18.0900° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing severe shortness of breath. Primary symptoms: Rapid, shallow breathing, audible wheezing, chest tightness, cyanosis around lips. Patient is alert but anxious. Secondary symptoms: Mild confusion, productive cough with clear sputum. Patient sitting upright in a chair, using accessory muscles to breathe. Medical history: COPD diagnosed 5 years ago, hypertension, type 2 diabetes. Medications: Salbutamol inhaler 2 puffs as needed, Fluticasone inhaler 2 puffs daily, Metformin 500mg twice daily, Lisinopril 10mg daily. Allergies: Penicillin. Last meal was a light lunch at 12:00.
Timeline: 1300 hours: Patient started experiencing mild shortness of breath 1315 hours: Symptoms worsened, wheezing developed 1320 hours: Patient used Salbutamol inhaler, no relief 1325 hours: Symptoms progressed, chest tightness and cyanosis appeared 1330 hours: Patient called emergency services Prior Events: Patient reports a recent cold last week, no fever. No recent changes to medication. Last medical check-up 2 months ago, routine follow-up. Patient lives alone, but son lives nearby.
Initial Impression: Acute Exacerbation of COPD Justification for F2 Classification: - High probability of respiratory compromise based on presentation - Patient experiencing severe dyspnea, wheezing, and cyanosis - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pulmonary Embolism (less likely, no chest pain) 3. Pneumonia (possible, but no fever reported) 4. Acute Heart Failure (less likely, no history of heart failure) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Bronchodilator administration - Preparation for transport to nearest hospital with respiratory services