Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. A four-story mixed-use building with commercial spaces on the ground floor and residential apartments above. Constructed in 1965, concrete structure. Main entrance at street level with a buzzer system for apartment access. One elevator and a central stairwell. Street parking available. Building equipped with a basic fire alarm system. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.6822° N, 18.0925° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing severe shortness of breath. Primary symptoms: Rapid, labored breathing, audible wheezing, use of accessory muscles, pale skin, and reported chest tightness. Patient is conscious but appears anxious. Secondary symptoms: Mild cough, reported feeling of suffocation. Patient is sitting upright in a chair. Medical history: Chronic Obstructive Pulmonary Disease (COPD) diagnosed 5 years ago, history of smoking, hypertension, and seasonal allergies. Medications: Salbutamol inhaler (as needed), Tiotropium inhaler (daily), Amlodipine 10mg daily, Loratadine 10mg daily. Known allergy to penicillin. Last meal was a light lunch at 12:30.
Timeline: 1400 hours: Patient began experiencing mild shortness of breath 1415 hours: Symptoms worsened rapidly, with increased wheezing and chest tightness 1420 hours: Patient attempted to use salbutamol inhaler, with minimal relief 1425 hours: Patient called his son for help 1428 hours: Son arrived and called emergency services 1430 hours: Current time, patient still experiencing severe respiratory distress Prior Events: Patient reports a recent upper respiratory infection that started 3 days ago. Has been using his salbutamol inhaler more frequently in the past 24 hours. Last medical check-up was 6 months ago for routine COPD management. Patient lives alone, but his son lives nearby.
Initial Impression: Acute Exacerbation of COPD Justification for F2 Classification: - High probability of a significant respiratory compromise - Patient experiencing severe shortness of breath, wheezing, and use of accessory muscles - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pulmonary Embolism (less likely given gradual onset) 3. Pneumonia (possible, given recent respiratory infection) 4. Acute Heart Failure (less likely given no prior history of heart failure) 5. Anaphylaxis (less likely, no known exposure to allergens) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - Bronchodilator administration - Monitoring of respiratory status and vital signs - Preparation for transport to nearest hospital with respiratory services