Hafnarstræti 18, 600 Akureyri, ground floor of a commercial building. The building is a two-story structure made of concrete, built in 1985. Main entrance is accessible via street level. No elevator. One main entrance/exit. No specific security features. Current weather: 8°C, overcast, good visibility. GPS coordinates: 65.6823° N, 18.0901° W. Nearest landmark: Akureyri Art Museum.
25-year-old male experiencing severe shortness of breath. Primary symptoms: Audible wheezing, rapid breathing, use of accessory muscles, and chest tightness. Patient is pale and appears anxious. Secondary symptoms: Mild dizziness and a non-productive cough. Patient is conscious and able to speak in short sentences. Patient is in the back office of his workplace. Medical history: Diagnosed with asthma at age 10. Allergies: Pollen and dust mites. Medications: Salbutamol inhaler (Ventolin) as needed, Fluticasone inhaler (Flovent) daily. Last used salbutamol 10 minutes ago with no relief. Last meal was a sandwich at 12:00.
Timeline: 13:15 hours: Patient began experiencing mild shortness of breath while working. 13:20 hours: Symptoms worsened, including audible wheezing and chest tightness. 13:25 hours: Patient used his salbutamol inhaler with no relief. 13:28 hours: Symptoms continued to worsen, patient called his coworker for help. 13:30 hours: Coworker called emergency services. Patient is now experiencing severe respiratory distress. Prior Events: Patient reports occasional asthma exacerbations, usually well-controlled with his inhalers. Last asthma attack was 6 months ago, resolved with salbutamol. No recent illnesses or injuries. Last medical check-up 2 months ago, routine follow-up.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Moderate to severe respiratory distress with wheezing, use of accessory muscles, and lack of response to initial bronchodilator. - Potential for rapid deterioration requiring prompt intervention. - Time-sensitive condition needing immediate medical evaluation and treatment. Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely, no known exposure to allergens other than pollen and dust) 3. Pneumonia (less likely given acute onset and wheezing) 4. Foreign Body Aspiration (unlikely given no reported choking incident) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and nebulized bronchodilators - Continuous monitoring of respiratory status and vital signs - Preparation for transport to nearest hospital with respiratory services