Hafnarstræti 20, 600 Akureyri, ground floor of a two-story wooden building built in 1955. Main entrance is street-level with one step. No elevator. Parking available on street. Building has a basic fire alarm. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6831° N, 18.0928° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe shortness of breath. Primary symptoms: severe dyspnea, productive cough with yellow sputum, chest tightness. Secondary symptoms: increased heart rate, mild confusion. Patient is sitting upright, struggling to breathe. Skin is pale and clammy. Medical history: COPD diagnosed 5 years ago, type 2 diabetes, hypertension. Medications: Salbutamol inhaler (as needed), Fluticasone/Salmeterol inhaler (1 puff twice daily), Metformin 1000mg twice daily, Lisinopril 10mg daily. Allergies: Penicillin. Last meal was lunch at 13:00.
Timeline: 1500 hours: Patient reports onset of mild shortness of breath. 1530 hours: Symptoms worsen, patient starts coughing up yellow sputum. 1545 hours: Patient experiences severe dyspnea and chest tightness. 1550 hours: Caller (patient's son) calls emergency services. 1555 hours: Current time, patient is struggling to breathe, sitting upright. Prior Events: Patient had a mild cold last week. Reports increased use of Salbutamol inhaler in the past 24 hours. No recent hospitalizations or medical appointments. Patient lives with his son, who is present during the call.
Initial Impression: Acute Exacerbation of COPD with possible pneumonia Justification for F2 Classification: - Patient experiencing severe respiratory distress, requiring urgent medical attention - Potential for rapid deterioration, especially with COPD history - Time-sensitive condition requiring prompt oxygen therapy and bronchodilator administration Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (possible given productive cough and symptoms) 3. Pulmonary Embolism (less likely given lack of sudden onset and risk factors) 4. Acute Heart Failure (possible, but less likely given COPD history) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy administration - Bronchodilator treatment - Preparation for transport to nearest hospital with respiratory support