Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. Five-story reinforced concrete building, built in 1985. Main entrance has a coded lock (code 2468). Elevator and stairwell access. Street parking is available, but may be limited during peak hours. Building has fire safety systems. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.6827° N, 18.0903° W. Nearest landmark: Akureyri Art Museum.
35-year-old male, experiencing severe shortness of breath. Primary symptoms: Significant dyspnea, wheezing, chest tightness, rapid breathing. Secondary symptoms: Mild cyanosis around the lips, anxious and agitated. Patient is sitting upright, struggling to breathe. Medical history: Diagnosed with asthma at age 10. Frequent exacerbations. Medications: Salbutamol inhaler (Ventolin) - used 4 puffs 10 minutes ago, Fluticasone inhaler (Flovent) - 2 puffs daily. Known allergy: Dust mites. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient started feeling chest tightness and mild shortness of breath 1420 hours: Symptoms worsened, started using Salbutamol inhaler 1425 hours: Condition deteriorated, severe dyspnea and wheezing developed 1428 hours: Patient called emergency services 1430 hours: Current time, patient struggling to breathe, sitting upright Prior Events: Patient had a mild cold last week. Last asthma exacerbation was 2 months ago. No recent changes in medication. Patient reports increased dust exposure at home recently due to ongoing renovations. Last medical check-up 6 months ago, routine asthma follow-up.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Significant respiratory distress with severe dyspnea and wheezing - Potential for rapid deterioration and respiratory failure - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely, no known exposure to allergens other than dust mites) 3. Pulmonary Embolism (less likely given history and presentation) 4. Pneumonia (less likely given rapid onset and lack of fever) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and monitoring - Bronchodilator therapy initiation - Preparation for transport to nearest hospital with respiratory services