Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. A five-story mixed-use building constructed in 1995, with commercial units on the ground floor and residential above. Main entrance has a coded lock, code is 1975. Elevator and central stairwell available. Street parking with limited spots. Building has a basic fire suppression system. Current conditions: 7°C, overcast, light wind. GPS coordinates: 65.6823° N, 18.0895° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing sudden onset of severe shortness of breath. Primary symptoms: Difficulty breathing, wheezing, chest tightness. Secondary symptoms: Anxiety, pale skin, mild cyanosis around lips. Patient is conscious but distressed. Patient is sitting upright in a chair. Medical history: Chronic Obstructive Pulmonary Disease (COPD) diagnosed 5 years ago, hypertension. Medications: Salbutamol inhaler as needed, Tiotropium inhaler daily, Lisinopril 10mg daily. Known allergy to penicillin. Last meal was a light lunch at 13:00.
Timeline: 14:15 hours: Patient was resting at home, began experiencing increasing shortness of breath. 14:20 hours: Patient used his salbutamol inhaler with minimal relief. 14:25 hours: Symptoms worsened; patient began to wheeze and feel tightness in his chest. 14:28 hours: Patient called his son, who then contacted emergency services. 14:30 hours: Current time, patient is still experiencing severe respiratory distress. Prior Events: Patient has had multiple COPD exacerbations in the past, requiring hospitalization. Last COPD flare-up was 3 months ago. Recent mild cold symptoms for the past 2 days. No recent travel history.
Initial Impression: Acute COPD Exacerbation Justification for F2 Classification: - Significant respiratory distress with wheezing and cyanosis - Known history of COPD with recent exacerbations - Time-sensitive condition requiring prompt bronchodilator treatment and oxygen therapy Differential Diagnoses: 1. Acute COPD Exacerbation (most likely) 2. Acute Asthma Exacerbation (less likely given history) 3. Pulmonary Embolism (lower probability without chest pain) 4. Acute Heart Failure (less likely without significant edema or cardiac history) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Bronchodilator administration - Preparation for transport to nearest hospital with respiratory services