Hafnarstræti 19, 600 Akureyri, second floor. A three-story building constructed in 1955. Main entrance has a simple lock. No elevator, access via central stairwell. Street parking available. Building has basic fire safety equipment. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6838° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe shortness of breath. Primary symptoms: Difficulty breathing, rapid and shallow respirations, use of accessory muscles, cyanosis around lips. Secondary symptoms: Chest tightness, anxiety, diaphoresis. Patient is conscious but appears distressed. Medical history: COPD diagnosed 5 years ago, history of smoking, hypertension. Medications: Salbutamol inhaler (as needed), Tiotropium inhaler daily, Amlodipine 10mg daily. Known allergy to penicillin. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient reports feeling slightly unwell, mild cough 1430 hours: Symptoms worsen, shortness of breath increases 1445 hours: Patient starts using salbutamol inhaler, no relief 1450 hours: Patient calls his son for help 1455 hours: Son arrives, calls emergency services 1500 hours: Current time, patient struggling to breathe, increasingly distressed Prior Events: Patient reports several exacerbations of COPD in the past year, requiring hospitalization. Last medical check-up 2 months ago, routine follow-up. Patient lives alone, son lives nearby.
Initial Impression: Acute Exacerbation of COPD Justification for F2 Classification: - High probability of respiratory compromise based on presentation and medical history - Patient exhibits signs of respiratory distress, including cyanosis and accessory muscle use - Time-sensitive condition requiring prompt medical intervention and oxygen therapy Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (possible, but less likely without fever) 3. Pulmonary Embolism (less likely given lack of sudden onset) 4. Acute Heart Failure (less likely, no history of cardiac disease) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Bronchodilator administration - Preparation for transport to nearest hospital with respiratory services