Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. Five-story concrete residential building constructed in 1995. Main entrance has a coded lock (code: 1978). Elevator and central stairwell access. Street parking available. Building equipped with a sprinkler system. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6832° N, 18.0921° W. Nearest landmark: Akureyri Art Museum.
62-year-old male, experiencing severe shortness of breath. Primary symptoms: Rapid, labored breathing, chest tightness, productive cough with yellow sputum. Patient is pale, diaphoretic, and appears anxious. Secondary symptoms: Mild confusion, unable to speak in full sentences. Patient is sitting upright in a chair. Medical history: Chronic Obstructive Pulmonary Disease (COPD) diagnosed 5 years ago, hypertension, type 2 diabetes. Medications: Salmeterol/Fluticasone inhaler 50/250 mcg twice daily, Metformin 500mg twice daily, Lisinopril 10mg daily. Allergies: None known. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient started feeling short of breath, initially attributed to exertion 1445 hours: Shortness of breath worsened, developed a cough 1500 hours: Patient became increasingly distressed, started producing yellow sputum 1510 hours: Patient called his son for help 1515 hours: Son arrived, called emergency services 1518 hours: Current time, patient sitting upright, struggling to breathe Prior Events: Patient reports a recent upper respiratory infection two weeks ago. No recent hospitalizations. Last check-up was 6 months ago, routine follow-up for COPD. Patient lives alone, but his son lives nearby.
Initial Impression: Acute Exacerbation of COPD with Possible Respiratory Infection Justification for F2 Classification: - Respiratory distress with signs of acute decompensation (rapid breathing, chest tightness) - Potential for rapid deterioration and need for oxygen therapy and medication - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (moderate probability, based on productive cough) 3. Pulmonary Embolism (lower probability, no risk factors reported) 4. Acute Heart Failure (lower probability, no prior history of heart failure) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Bronchodilator administration - Preparation for transport to nearest hospital with respiratory services