Hafnarstræti 18, 600 Akureyri. Ground floor of a two-story commercial building. Main entrance faces the street, no steps. Secondary entrance at the rear, accessed through a small parking area. Building is of concrete construction, built in 1985. No security features. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6827° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
38-year-old male experiencing severe respiratory distress. Primary symptoms: Severe shortness of breath, wheezing, chest tightness, use of accessory muscles. Secondary symptoms: Anxiety, diaphoresis, inability to speak in full sentences. Patient is conscious but appears agitated. Patient found sitting upright at his desk in his office. Medical history: Known history of asthma, previously well-controlled with inhalers. Medications: Salbutamol inhaler (as needed), Fluticasone inhaler (twice daily). Allergies: Pollen. Last meal: Light lunch at 12:30. No recent illnesses or injuries.
Timeline: 1345 hours: Patient reports feeling mild chest tightness and shortness of breath. 1350 hours: Symptoms rapidly worsened, patient used Salbutamol inhaler, with minimal relief. 1355 hours: Patient unable to speak in full sentences, significant wheezing. Called his colleague for assistance. 1358 hours: Colleague arrived, called emergency services. 1400 hours: Current time, patient still in severe respiratory distress. Prior Events: Patient reports several mild asthma exacerbations in the past year, all resolved with inhalers. Last medical check-up 6 months ago, routine follow-up. Patient works as an accountant and reports high stress levels recently.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Patient experiencing severe respiratory distress, use of accessory muscles, unable to speak in full sentences - Risk of rapid deterioration and respiratory failure - Time-sensitive condition requiring prompt bronchodilator therapy and potential oxygen support Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely given no known allergies and lack of other anaphylactic symptoms) 3. Pulmonary Embolism (less likely given lack of risk factors and acute onset of symptoms) 4. Pneumothorax (less likely given lack of history of trauma and unilateral chest pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Administration of oxygen therapy if available - Administration of bronchodilators (nebulized if possible) - Preparation for transport to nearest hospital with respiratory services