Hafnarstræti 18, 600 Akureyri. Ground floor of a two-story wooden building, constructed in 1955. Main entrance is on the street level, with no steps. One main entrance and one back entrance. No security features. Current conditions: 7°C, clear skies, good visibility. GPS coordinates: 65.6812° N, 18.0911° W. Nearest landmark: Akureyri Art Museum.
33-year-old male, experiencing severe shortness of breath. Primary symptoms: Severe dyspnea, wheezing, chest tightness, use of accessory muscles for breathing, speaking in short sentences. Secondary symptoms: Mild cyanosis around lips, anxiety, agitation. Patient is conscious but distressed. Patient is sitting upright in a chair in his living room. Medical history: Diagnosed with asthma since childhood, has inhalers. Medications: Salbutamol inhaler (Ventolin) 100 mcg, Fluticasone inhaler (Flovent) 250 mcg, takes as needed. No known allergies. Last meal was a light lunch at 12:30.
Timeline: 1300 hours: Patient began to experience mild shortness of breath. 1315 hours: Symptoms worsened, started using salbutamol inhaler, no relief. 1330 hours: Symptoms continued to worsen, patient called emergency services. 1335 hours: Current time, patient still experiencing severe shortness of breath, using accessory muscles to breathe. Prior Events: Patient reports a history of asthma exacerbations, usually controlled with inhalers. Last asthma attack was 6 months ago, treated at home. No recent infections or triggers identified. Patient reports feeling unusually stressed at work today.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Moderate to severe respiratory distress with significant wheezing and use of accessory muscles - Patient is unable to speak in full sentences, indicating compromised respiratory function - Time-sensitive condition requiring prompt bronchodilator treatment and possible oxygen therapy Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely, no known allergens or signs of allergic reaction) 3. Acute Bronchitis (less likely, symptoms more severe and acute) 4. Pneumonia (less likely, no fever or cough reported) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy if available - Administration of bronchodilators (nebulized salbutamol) if possible - Preparation for transport to nearest hospital with respiratory services