Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. A four-story concrete building constructed in 1965. Main entrance has a coded lock, code is 1972. There is an elevator and a central stairwell. Street parking is available. The building is equipped with a basic fire alarm system. Current conditions: 7°C, overcast, light wind, moderate visibility. GPS coordinates: 65.6823° N, 18.0885° W. Nearest landmark: Akureyri Art Museum.
35-year-old male, experiencing severe shortness of breath and wheezing. Patient reports a history of asthma. Primary symptoms: Severe dyspnea, audible wheezing, use of accessory muscles, chest tightness, and a productive cough with yellow sputum. Secondary symptoms: Increased heart rate, anxiety, and mild cyanosis around the lips. Patient is conscious but agitated. Medical history: Asthma diagnosed in childhood, allergic rhinitis. Medications: Salbutamol inhaler (Ventolin) as needed, Fluticasone inhaler (Flovent) 250 mcg twice daily, Cetirizine 10mg daily. Allergies: Pollen and dust. Last meal was a sandwich at 12:00.
Timeline: 1300 hours: Patient noticed mild shortness of breath and wheezing 1315 hours: Symptoms worsened, used salbutamol inhaler, no significant relief 1330 hours: Symptoms continued to escalate, increasing anxiety, persistent wheezing 1340 hours: Current time, patient reports severe shortness of breath, unable to speak in full sentences, productive cough Prior Events: Patient reports a cold last week, recent exposure to dust during home renovation. Patient has had several asthma exacerbations in the past, usually responding to salbutamol. Last asthma check-up was 6 months ago, routine follow-up. Patient lives with his wife.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Severe respiratory distress with significant wheezing, use of accessory muscles, and cyanosis - History of asthma with known triggers - Time-sensitive condition requiring prompt medical intervention to prevent respiratory failure Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Pneumonia (less likely given the acute onset and history of asthma) 3. Anaphylaxis (less likely given no known allergies to food or medications) 4. Pulmonary Embolism (less likely given the patient's history and presentation) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Bronchodilator administration - Preparation for transport to nearest hospital with respiratory services