Hafnarstræti 18, 600 Akureyri. Ground floor of a two-story commercial building, built in 1960, with concrete structure and large display windows. Main entrance at street level with a single door. No elevator access. Street parking available. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 65.6823° N, 18.0913° W. Nearest landmark: The Cultural Centre Hof.
31-year-old male, experiencing severe shortness of breath. Primary symptoms: Difficulty breathing, wheezing, chest tightness, and inability to speak in full sentences. Secondary symptoms: Increased heart rate, sweating, and anxiety. Patient is conscious but appears distressed. Patient is sitting upright, leaning forward, using accessory muscles to breathe. Medical history: Diagnosed with asthma at age 10, has been using inhaler regularly, previous hospital admissions for asthma exacerbations. Medications: Salbutamol inhaler (2 puffs as needed), Fluticasone inhaler (2 puffs daily). No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1315 hours: Patient began to feel slightly short of breath 1320 hours: Symptoms worsened, with increased wheezing and chest tightness 1325 hours: Patient took 2 puffs of Salbutamol, with no relief 1330 hours: Patient unable to speak in full sentences, experiencing severe distress 1335 hours: Caller, patient's friend, called emergency services 1337 hours: Current time, patient is still in severe respiratory distress Prior Events: Patient reports a cold last week, but no recent changes in medication. Patient had a moderate asthma attack 3 months ago. Patient reports no known triggers for current attack. Patient is a non-smoker and does not have any known allergies. Last doctor visit 6 months ago, routine check-up.
Initial Impression: Severe Asthma Exacerbation Justification for F2 Classification: - Severe respiratory distress with significant difficulty breathing - Failure to respond to initial bronchodilator treatment - Potential for rapid deterioration requiring immediate medical intervention Differential Diagnoses: 1. Severe Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely, no known allergens or signs of allergic reaction) 3. Pneumonia (less likely, no fever or productive cough) 4. Pulmonary Embolism (less likely, no risk factors or chest pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and bronchodilator therapy - Continuous monitoring of respiratory status - Preparation for potential intubation if condition worsens - Rapid transport to nearest hospital with respiratory services