Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. Five-story concrete building built in 1992. Main entrance has a coded lock. Elevator and central staircase available. Street parking and limited parking behind the building. Building has a fire alarm system. Current conditions: 3°C, overcast, moderate wind. GPS coordinates: 65.6835° N, 18.0894° W. Nearest landmark: Akureyri Art Museum.
29-year-old male, experiencing severe shortness of breath and wheezing. Primary symptoms: Rapid and labored breathing, audible wheezing, chest tightness, use of accessory muscles. Secondary symptoms: Mild cyanosis around lips, increased heart rate, anxiety. Patient is conscious but distressed. Patient is sitting upright on a chair in his living room. Medical history: Asthma diagnosed at age 10, seasonal allergies. Medications: Salbutamol inhaler (Ventolin) 200 mcg as needed, Fluticasone inhaler (Flovent) 250 mcg twice daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient began experiencing mild shortness of breath 1415 hours: Symptoms worsened rapidly, wheezing and chest tightness developed 1420 hours: Patient used his salbutamol inhaler, no significant relief 1425 hours: Patient's condition continued to deteriorate, called emergency services 1428 hours: Current time, patient is struggling to breathe, very distressed Prior Events: Patient reports a recent upper respiratory infection 3 days ago. Has had several asthma exacerbations in the past year, all managed with outpatient care. Last medical check-up 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Moderate to severe respiratory distress with clinical signs of exacerbation - Patient is experiencing significant difficulty breathing, requiring immediate intervention - Potential for rapid deterioration and respiratory failure Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Pneumonia (less likely, no fever reported) 3. Allergic Reaction (less likely, no known exposure) 4. Pulmonary Embolism (lower probability, no risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - Administration of supplemental oxygen - Nebulized bronchodilators and corticosteroids if available - Preparation for transport to nearest hospital with respiratory services