Hafnarstræti 22, 600 Akureyri, third floor, apartment 3B. A five-story mixed-use building with commercial spaces on the ground floor and residential units above. Constructed in 1995, reinforced concrete structure. Main entrance with a buzzer system and key access. One elevator and a central staircase. Street parking available, limited during peak hours. The building has a basic fire suppression system. Current conditions: 7°C, overcast, moderate wind. GPS coordinates: 65.6821° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing acute shortness of breath. Primary symptoms: severe dyspnea, wheezing, and productive cough with yellow sputum. Patient is conscious but agitated, struggling to speak in full sentences. Secondary symptoms: chest tightness, increased heart rate. Patient is sitting upright in a chair. Medical history: COPD diagnosed 5 years ago, type 2 diabetes, history of smoking. Medications: Salbutamol inhaler (as needed), Fluticasone/Salmeterol inhaler (twice daily), Metformin 500mg (twice daily). Allergies: none known. Last meal was a light lunch at 13:00.
Timeline: 1500 hours: Patient reports feeling slightly unwell with mild cough 1530 hours: Cough worsened, started producing yellow sputum 1600 hours: Developed severe shortness of breath and chest tightness 1615 hours: Patient used his Salbutamol inhaler with minimal relief 1620 hours: Patient called his son for help 1625 hours: Son arrived, called emergency services 1628 hours: Current time, patient is still struggling to breathe Prior Events: Patient had a COPD exacerbation 3 months ago requiring a short hospital stay. Has been non-compliant with his inhaler regimen at times. Recent minor cold symptoms for the past 2 days. No recent travel or unusual exposures.
Initial Impression: Acute COPD Exacerbation Justification for F2 Classification: - Patient is experiencing severe respiratory distress - Wheezing and productive cough indicate potential infection - History of COPD places patient at high risk for rapid deterioration - Time-sensitive condition requiring prompt intervention Differential Diagnoses: 1. COPD Exacerbation (high probability) 2. Pneumonia (possible given productive cough) 3. Acute Heart Failure (less likely given history and symptoms) 4. Pulmonary Embolism (lower probability, no sudden onset of pleuritic chest pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - Assessment of respiratory status and vital signs - Bronchodilator therapy if indicated - Preparation for transport to nearest hospital with respiratory services