Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building built in 1955. Main entrance is on the street level, no steps. No elevator. Street parking available. Building has a basic fire alarm system. Current conditions: 7°C, clear skies, good visibility. GPS coordinates: 65.6816° N, 18.0902° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe shortness of breath. Primary symptoms: Difficulty breathing, wheezing, chest tightness, productive cough with yellow sputum. Secondary symptoms: Increased heart rate, sweating, feeling anxious. Patient is sitting upright, struggling to speak in full sentences. Medical history: Chronic Obstructive Pulmonary Disease (COPD) diagnosed 5 years ago, hypertension. Medications: Salbutamol inhaler (as needed), Beclomethasone inhaler (2 puffs twice daily), Lisinopril 10mg daily. Known allergy to penicillin. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient began experiencing mild shortness of breath 1430 hours: Symptoms worsened rapidly, patient reports increased wheezing and chest tightness 1440 hours: Patient used Salbutamol inhaler with minimal relief 1445 hours: Patient called emergency services 1448 hours: Current time, patient is in significant respiratory distress. Prior Events: Patient reports a recent upper respiratory infection 3 weeks ago, treated with over-the-counter medications. Patient has had several exacerbations of COPD in the past year, requiring hospital admission. Last medical check-up 2 months ago, routine follow-up. Patient lives alone.
Initial Impression: Acute Exacerbation of COPD Justification for F2 Classification: - Patient presents with significant respiratory distress, a potentially life-threatening condition - History of COPD exacerbations - Symptoms include wheezing, chest tightness, and productive cough - Requires prompt medical intervention and oxygen therapy Differential Diagnoses: 1. Acute Exacerbation of COPD (most likely) 2. Pneumonia (possible, given recent respiratory infection) 3. Pulmonary Embolism (less likely, no risk factors reported) 4. Acute Heart Failure (less likely, no reported history of heart failure) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Bronchodilator administration - Preparation for transport to nearest hospital with respiratory services