Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building, constructed in 1935, with a single main entrance facing the street. The building is a former shop now converted to offices. There is a small parking area behind the building, accessible via a narrow alleyway. Current conditions: 8°C, overcast, good visibility, dry roads. GPS coordinates: 65.6837° N, 18.0886° W. Nearest landmark: Akureyri Art Museum.
55-year-old male, experiencing severe shortness of breath, sudden onset. Primary symptoms: severe dyspnea, wheezing, rapid breathing. Secondary symptoms: chest tightness, anxiety, cyanosis around lips. Patient is conscious but struggling to breathe. Medical history: diagnosed with asthma 20 years ago, has not used his inhaler in 3 months, reports a recent upper respiratory infection. Medications: Salbutamol inhaler (not currently in use), no other regular medications. Allergies: No known allergies. Last meal: sandwich at 12:00.
Timeline: 13:15 hours: Patient started feeling unwell with a mild cough 13:45 hours: Patient developed increasing shortness of breath and wheezing 14:00 hours: Patient reports severe difficulty breathing, chest tightness, and anxiety 14:05 hours: Caller (patient's colleague) called emergency services 14:07 hours: Current time, patient is conscious but in severe respiratory distress Prior Events: Patient reports a cold for the past 3 days. No recent hospitalizations. Has not used his inhaler due to feeling 'better'. No known triggers for asthma attacks.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Patient experiencing severe respiratory distress with signs of hypoxia (cyanosis) - Time-sensitive condition requiring immediate intervention to prevent respiratory failure - History of asthma with poor compliance to medication Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely, no known allergies) 3. Pulmonary Embolism (less likely, no risk factors) 4. Pneumonia (possible but less likely given sudden onset) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - Bronchodilator therapy (salbutamol) if available - Preparation for transport to nearest hospital with respiratory services