Hafnarstræti 96, 600 Akureyri, third-floor apartment 3B. A five-story reinforced concrete building built in 1995. Main entrance accessible via a coded lock (code: 1978). Elevator and central stairwell available. Street parking along Hafnarstræti. Building has fire suppression system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6838° N, 18.0917° W. Nearest landmark: Akureyri Art Museum.
31-year-old male experiencing a severe allergic reaction. Primary symptoms: Rapid onset of facial swelling, difficulty breathing, and a rash spreading across the chest. Patient reports feeling dizzy and lightheaded. Secondary symptoms: Mild nausea, anxiety. Patient is conscious but appears distressed. Patient states he ate shrimp approximately 15 minutes prior to symptom onset. Medical history: Known allergy to shellfish, no other significant medical conditions. Patient carries an EpiPen, but is hesitant to use it. Medications: None. Last meal was a light lunch at 12:00, shrimp consumed at 13:15.
Timeline: 1315 hours: Patient consumed shrimp at a local restaurant. 1320 hours: Initial symptoms of itching and mild rash on chest began. 1322 hours: Facial swelling and difficulty breathing began rapidly. 1323 hours: Patient reports feeling lightheaded and dizzy. 1325 hours: Patient called emergency services. 1327 hours: Current time, patient still experiencing severe symptoms. Prior Events: Patient reports previous mild allergic reactions to shellfish, managed with antihistamines. This is the most severe reaction he has experienced. No recent illnesses or injuries. Last medical check-up was 6 months ago for routine health assessment. Patient lives alone.
Initial Impression: Anaphylactic Reaction due to Shellfish Allergy Justification for F2 Classification: - Rapid onset of severe symptoms including facial swelling, difficulty breathing, and a spreading rash. - High probability of a life-threatening reaction requiring immediate intervention. - Time-sensitive condition requiring prompt administration of epinephrine and transport to hospital. Differential Diagnoses: 1. Anaphylaxis (most likely) 2. Angioedema (less likely, no history of ACE inhibitor use) 3. Severe Allergic Reaction (less likely, does not fully explain severity) 4. Panic Attack (less likely, symptoms are consistent with allergic reaction) Required Actions: - Dispatch of ground EMS with ALS capabilities. - Advise patient to use EpiPen immediately. - Preparation for airway management if required. - Transport to nearest hospital with emergency services.