Hafnarstræti 22, 600 Akureyri. Ground floor of a two-story wooden building, built in 1950. Main entrance is street-level with a single door. No elevator. Street parking is available. Building has no security features. Current conditions: 8°C, overcast, light breeze, good visibility. GPS coordinates: 65.6832° N, 18.0894° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe shortness of breath. Primary symptoms: Rapid, labored breathing, use of accessory muscles, cyanosis around lips, chest tightness. Patient reports a sudden onset of symptoms. Secondary symptoms: Anxiety, diaphoresis, dizziness. Patient is conscious but appears distressed. Medical history: COPD diagnosed 5 years ago, hypertension, type 2 diabetes. Medications: Salbutamol inhaler (as needed), Fluticasone inhaler (twice daily), Metformin 500mg twice daily, Lisinopril 10mg daily. Allergies: Penicillin. Last meal was a small lunch at 13:00.
Timeline: 1400 hours: Patient was sitting at his desk, began to feel tightness in his chest and shortness of breath 1405 hours: Symptoms worsened rapidly, patient became increasingly distressed 1410 hours: Patient attempted to use his salbutamol inhaler, with minimal relief 1412 hours: Patient called his son for help, who then called emergency services 1415 hours: Current time, patient is sitting in a chair, struggling to breathe Prior Events: Patient reports increased cough and sputum production over the past 3 days. He has been using his salbutamol inhaler more frequently. No recent hospitalizations. Last medical check-up was 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Acute Exacerbation of COPD with Respiratory Distress Justification for F2 Classification: - Patient experiencing acute respiratory distress with cyanosis and use of accessory muscles - High probability of respiratory failure if not treated promptly - Time-sensitive condition requiring immediate medical intervention Differential Diagnoses: 1. Acute Exacerbation of COPD (most likely) 2. Pulmonary Embolism (less likely given gradual onset of symptoms) 3. Pneumonia (less likely, no fever reported) 4. Acute Coronary Syndrome (less likely, no reported chest pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Bronchodilator administration - Preparation for transport to nearest hospital with respiratory services