Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. A five-story concrete building built in 1985. Main entrance has an electronic lock, code required. One elevator and a central stairwell. Street parking available. Building has a fire alarm system. Current weather: 7°C, overcast, light breeze. GPS coordinates: 65.6823° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
28-year-old male, experiencing severe shortness of breath. Primary symptoms: Audible wheezing, difficulty speaking in full sentences, rapid breathing, chest tightness. Patient is conscious but appears anxious and distressed. Secondary symptoms: Mild cyanosis around lips. Patient is sitting upright in his living room. Medical history: Diagnosed with asthma since childhood, uses a salbutamol inhaler. Medications: Salbutamol inhaler as needed, Fluticasone inhaler 250mcg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1330 hours: Patient began experiencing mild shortness of breath 1345 hours: Symptoms worsened, patient used salbutamol inhaler with minimal relief 1400 hours: Patient reports increased wheezing and chest tightness, unable to complete sentences 1405 hours: Caller (patient's roommate) contacted emergency services 1407 hours: Current time, patient is struggling to breathe, roommate providing reassurance Prior Events: Patient reports several asthma exacerbations in the past year, usually responding to inhaler use. No recent respiratory infections. Last medical check-up 6 months ago, routine follow-up. Patient lives with roommate.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Severe respiratory distress with audible wheezing and difficulty speaking - Potential for rapid deterioration requiring prompt intervention - Patient is known asthmatic with limited response to initial treatment Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely, no reported allergies or exposure) 3. Pneumonia (less likely given acute onset and lack of fever) 4. Pulmonary Embolism (lower probability, no risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - Administration of oxygen therapy - Monitoring of vital signs and respiratory status - Preparation for potential intubation if condition worsens