Hafnarstræti 18, 600 Akureyri, first floor. Two-story wooden building built in 1950, main entrance on street level. No elevator, access through a single front door. Street parking available. Building equipped with basic smoke detectors. Current conditions: 8°C, overcast, light wind. GPS coordinates: 65.6824° N, 18.0915° W. Nearest landmark: Akureyri Art Museum.
35-year-old male, experiencing severe shortness of breath. Primary symptoms: Audible wheezing, difficulty speaking in full sentences, use of accessory muscles for breathing, pale skin. Secondary symptoms: Increased heart rate, anxiety. Patient is conscious but agitated. Patient sitting upright in his living room. Medical history: Asthma diagnosed in childhood, seasonal allergies. Medications: Salbutamol inhaler (Ventolin) - uses it frequently, Fluticasone inhaler (Flovent) - has not used it today. Known allergies: Pollen. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient reports mild shortness of breath started 1415 hours: Symptoms worsened, wheezing started 1430 hours: Patient used salbutamol inhaler with minimal relief 1440 hours: Patient called emergency services, symptoms continue to worsen 1445 hours: Current time, patient is in severe respiratory distress Prior Events: Patient reports mild cold symptoms for the past 3 days. Has not used his preventative inhaler as prescribed. No recent hospitalizations. Last medical check-up 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Significant respiratory distress with wheezing and accessory muscle use - Inadequate response to bronchodilator therapy - Potential for rapid deterioration requiring immediate medical intervention Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely, no known allergens recently encountered) 3. Pneumonia (less likely, no fever or productive cough reported) 4. Pulmonary Embolism (less likely, no risk factors or sudden onset) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and nebulized bronchodilator therapy - Continuous monitoring of vital signs and respiratory status - Preparation for transport to nearest hospital