Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. A five-story concrete building, constructed in 1995. Main entrance is accessible via a coded lock (code: 1975). Elevator and stairwell available. Street parking. Building has a fire suppression system. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6827° N, 18.0892° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe shortness of breath. Primary symptoms: Rapid, labored breathing, cyanosis around the lips, use of accessory muscles. Patient is conscious but anxious. Secondary symptoms: Chest tightness, productive cough with thick yellow sputum. Patient is sitting upright on the edge of his bed. Medical history: Chronic obstructive pulmonary disease (COPD) diagnosed 5 years ago, history of smoking. Medications: Salbutamol inhaler (as needed), Fluticasone/Salmeterol inhaler (twice daily), Prednisone 5mg daily. Known allergy to penicillin. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient started feeling unwell, with increased shortness of breath. 1415 hours: Patient used his salbutamol inhaler with minimal relief. 1430 hours: Patient's breathing worsened, cyanosis developed, started coughing up yellow sputum. 1440 hours: Patient's son called emergency services. 1442 hours: Current time, patient is struggling to breathe. Prior Events: Patient had a COPD exacerbation 3 months ago, treated with antibiotics and steroids. Has been compliant with his medication regimen. Smoked 1 pack of cigarettes per day for 40 years, quit 2 years ago. No recent illnesses or injuries. Last medical check-up 6 months ago.
Initial Impression: Acute Exacerbation of COPD with Respiratory Distress Justification for F2 Classification: - Moderate respiratory distress with cyanosis and use of accessory muscles - History of COPD, indicating high risk for rapid deterioration - Time-sensitive condition requiring prompt oxygen therapy and medical intervention Differential Diagnoses: 1. Acute Exacerbation of COPD (most likely) 2. Pneumonia (possible, given productive cough) 3. Pulmonary Embolism (less likely, no sudden onset of chest pain) 4. Acute Heart Failure (less likely, no history of heart disease) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Assessment of respiratory status and vital signs - Preparation for transport to nearest hospital with respiratory services