Hafnarstræti 18, 600 Akureyri. Ground floor of a two-story commercial building. Main entrance is street-level, no steps. Building is of modern construction, built in 2005. No security features beyond standard door locks. Parking available on street. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6834° N, 18.0900° W. Nearest landmark: Hof Cultural and Conference Center.
65-year-old male, experiencing severe shortness of breath. Primary symptoms: Severe dyspnea, wheezing, productive cough with yellow sputum. Secondary symptoms: Chest tightness, cyanosis around lips, patient appears anxious and agitated. Patient is conscious but struggling to speak in full sentences. Medical history: COPD diagnosed 5 years ago, hypertension, history of smoking. Medications: Salbutamol inhaler (as needed), Fluticasone/Salmeterol inhaler (twice daily), Lisinopril 10mg daily. Allergies: None known. Last meal was lunch at 13:00.
Timeline: 14:00 hours: Patient reports feeling slightly unwell with mild cough 14:30 hours: Symptoms worsened, with increased shortness of breath 14:45 hours: Patient used his Salbutamol inhaler, with no relief 15:00 hours: Patient's condition continued to deteriorate, now struggling to breathe 15:05 hours: Caller (patient's son) called emergency services 15:08 hours: Current time, patient is sitting upright, gasping for air. Prior Events: Patient had a COPD exacerbation 3 months ago requiring a short hospital stay. Patient has been compliant with his medications. Patient reports a recent mild cold, but no fever.
Initial Impression: Acute Exacerbation of COPD Justification for F2 Classification: - Patient has a history of COPD, presenting with acute respiratory distress and cyanosis - Time-sensitive condition requiring immediate intervention to prevent respiratory failure - Patient's symptoms are severe, requiring oxygen therapy and potentially other interventions Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (possible, given productive cough) 3. Pulmonary Embolism (less likely, no history of DVT) 4. Acute Heart Failure (less likely, no history of heart disease) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Monitoring of respiratory status and vital signs - Preparation for possible intubation if condition worsens - Rapid transport to nearest hospital with respiratory care services