Hafnarstræti 21, 600 Akureyri, ground floor of a two-story wooden building constructed in 1935. Main entrance has a single door with a basic lock. No elevator. Street parking available. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6825° N, 18.0890° W. Nearest landmark: Akureyri Art Museum.
29-year-old male, experiencing severe shortness of breath. Primary symptoms: Wheezing, rapid breathing, use of accessory muscles, chest tightness. Patient is conscious but anxious. Secondary symptoms: Mild cyanosis around lips. Patient is sitting upright, struggling to breathe. Medical history: Diagnosed with asthma at age 10. Allergies: Dust mites and pollen. Medications: Salbutamol inhaler (Ventolin) 100mcg as needed, Fluticasone inhaler (Flovent) 250mcg twice daily. Last used Salbutamol 15 minutes ago with no improvement. Last meal was a sandwich at 10:00.
Timeline: 1045 hours: Patient began experiencing mild shortness of breath and wheezing 1050 hours: Symptoms worsened, patient used Salbutamol inhaler, no relief 1055 hours: Symptoms progressed to severe respiratory distress, patient called for help 1058 hours: Current time, patient is in significant respiratory distress Prior Events: Patient reports a history of asthma exacerbations, last one was 6 months ago. Patient states he forgot to take his Fluticasone inhaler this morning. No recent illnesses or other injuries. No recent changes in medication. Last medical check-up was 4 months ago for a routine follow-up.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Patient in significant respiratory distress with signs of hypoxemia (cyanosis) - Failed response to initial bronchodilator therapy - Time-sensitive condition requiring prompt intervention to prevent respiratory failure Differential Diagnoses: 1. Acute Asthma Exacerbation (most likely) 2. Anaphylaxis (less likely, no reported exposure to allergens) 3. Pneumonia (less likely, no fever or cough) 4. Pulmonary Embolism (less likely, no risk factors reported) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy administration - Nebulized bronchodilators administration - Corticosteroid administration - Preparation for transport to nearest hospital