Hafnarstræti 18, 600 Akureyri, Ground floor apartment. Three-story concrete building built in 1960. Main entrance has a code lock. No elevator, stairwell access. Street parking available. Building equipped with basic fire detection. Current conditions: 8°C, overcast, moderate visibility. GPS coordinates: 65.6834° N, 18.0932° W. Nearest landmark: Akureyri Art Museum.
62-year-old male, experiencing severe shortness of breath. Primary symptoms: Rapid, labored breathing, use of accessory muscles, wheezing. Patient is pale and appears anxious. Secondary symptoms: Mild chest tightness, productive cough with small amount of yellow sputum. Patient is alert but struggling to speak in full sentences. Medical history: COPD diagnosed 5 years ago, mild hypertension. Medications: Salbutamol inhaler (2 puffs as needed), Fluticasone/Salmeterol inhaler (1 puff twice daily), Amlodipine 5mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient began experiencing increased shortness of breath. 1415 hours: Symptoms worsened, patient used his salbutamol inhaler with no relief. 1420 hours: Patient called his son for help. 1425 hours: Son arrived, found patient in significant distress, called emergency services. 1427 hours: Current time, patient still experiencing severe respiratory distress. Prior Events: Patient reports a recent upper respiratory infection 2 weeks ago, treated with over-the-counter medication. No recent hospitalizations. Patient is a former smoker (quit 10 years ago). Last medical check-up 6 months ago, routine follow-up.
Initial Impression: Acute Exacerbation of COPD Justification for F2 Classification: - Significant respiratory distress with use of accessory muscles and wheezing. - Potential for rapid deterioration requiring prompt intervention. - Time-sensitive condition requiring oxygen therapy and medication administration. Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (possible given recent infection) 3. Pulmonary Embolism (less likely, no sudden onset of chest pain) 4. Acute Heart Failure (less likely, no reported history of heart failure) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and bronchodilator therapy - Continuous monitoring of vital signs - Preparation for transport to nearest hospital with respiratory services