Hafnarstræti 23, 600 Akureyri, first floor, apartment 101. Three-story concrete building constructed in 1965. Main entrance accessible via a coded lock (code: 1965). No elevator, central stairwell. Street parking available. Building equipped with a basic fire alarm system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6834° N, 18.0923° W. Nearest landmark: Akureyri Art Museum.
35-year-old male, experiencing severe shortness of breath. Primary symptoms: Wheezing, severe dyspnea, use of accessory muscles, and productive cough with yellow sputum. Patient reports feeling anxious and unable to speak in full sentences. Secondary symptoms: Mild chest tightness, increased heart rate. Patient is sitting upright, leaning forward. Medical history: Asthma diagnosed in childhood, seasonal allergies. Medications: Salbutamol inhaler (as needed), Fluticasone inhaler (daily). Allergies: Pollen, dust mites. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient started feeling mild shortness of breath 1445 hours: Symptoms worsened rapidly, developed severe wheezing and coughing 1450 hours: Patient used salbutamol inhaler, no improvement 1455 hours: Patient called emergency services, unable to speak full sentences 1458 hours: Current time, patient in severe respiratory distress Prior Events: Patient reports a similar episode 6 months ago requiring a short hospital stay. Patient has not had a cold or fever recently. No recent changes in medication. Patient reports increased exposure to pollen due to recent outdoor activities.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Patient in severe respiratory distress with signs of airway obstruction - Symptoms have worsened rapidly despite bronchodilator use - Potential for rapid deterioration, requiring prompt medical intervention Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely, no known allergen exposure) 3. Pneumonia (less likely, no fever or recent illness) 4. Pulmonary Embolism (less likely, no risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Administration of bronchodilators (nebulized if possible) - Continuous monitoring of vital signs and respiratory status - Preparation for transport to nearest hospital with respiratory support