Hafnarstræti 22, 600 Akureyri, ground floor, main entrance. Two-story wooden building built in 1935. Main entrance has a single wooden door. Street parking is available. Building is equipped with smoke detectors. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6823° N, 18.0914° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing severe shortness of breath. Primary symptoms: Rapid, labored breathing, wheezing, use of accessory muscles. Patient reports sudden onset of symptoms. Secondary symptoms: Chest tightness, productive cough with yellowish sputum. Patient is conscious but agitated. Skin is pale and diaphoretic. Medical history: COPD diagnosed 5 years ago, history of smoking. Medications: Salbutamol inhaler (as needed), Fluticasone inhaler (twice daily), Theophylline 200mg daily. Known allergy to penicillin. Last meal was a sandwich at 12:00.
Timeline: 1330 hours: Patient was resting at home 1345 hours: Patient began to experience shortness of breath and wheezing 1350 hours: Symptoms rapidly worsened, patient used his salbutamol inhaler with no relief 1355 hours: Patient called his son for help 1400 hours: Son arrived and called emergency services 1402 hours: Current time, patient is sitting upright on the sofa, struggling to breathe. Prior Events: Patient reports a recent upper respiratory infection 3 weeks ago. No recent hospitalizations. Has been experiencing increased shortness of breath over the past week. Has not been compliant with his inhalers.
Initial Impression: Acute Exacerbation of COPD Justification for F2 Classification: - Significant respiratory distress with rapid symptom onset - Use of accessory muscles and wheezing indicating severe airway obstruction - Time-sensitive condition requiring immediate medical intervention - Potential for rapid deterioration Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (possible given recent infection) 3. Pulmonary Embolism (less likely given history) 4. Acute Heart Failure (less likely given no history of cardiac issues) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and airway management - Bronchodilator therapy - Rapid transport to nearest hospital