Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building. Constructed in 1955, recently renovated. Main entrance is street level, no steps. No elevator. No security system. Street parking available. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6822° N, 18.0902° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing acute shortness of breath. Primary symptoms: Severe dyspnea, wheezing, productive cough with yellowish sputum. Patient is sitting upright, using accessory muscles to breathe. Secondary symptoms: Increased heart rate, mild chest tightness, feeling anxious. Patient is alert but distressed. Skin is pale and diaphoretic. Medical history: COPD diagnosed 5 years ago, history of smoking, seasonal allergies. Medications: Salbutamol inhaler as needed, Fluticasone inhaler daily, Theophylline 200mg twice daily. Known allergy to penicillin. Last meal was a light lunch at 12:00.
Timeline: 1300 hours: Patient started experiencing increased shortness of breath 1315 hours: Symptoms worsened, productive cough developed 1330 hours: Patient used his salbutamol inhaler with no improvement 1345 hours: Patient called his son for help 1350 hours: Son arrived, called emergency services 1352 hours: Current time, patient still experiencing severe dyspnea Prior Events: Patient has had several COPD exacerbations in the past year, requiring hospitalizations. Last medical check-up 2 months ago, routine follow-up. Patient lives alone, but son lives nearby. Patient reports not having a fever.
Initial Impression: Acute Exacerbation of COPD Justification for F2 Classification: - Patient experiencing significant respiratory distress with signs of acute exacerbation of a chronic condition - Presence of wheezing, productive cough, and use of accessory muscles indicate moderate to severe respiratory compromise - Time-sensitive condition requiring prompt medical intervention to prevent further deterioration Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (possible, given productive cough) 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 therapy initiation - Bronchodilator administration - Preparation for transport to nearest hospital with respiratory services