Hafnarstræti 18, 600 Akureyri, first floor, main entrance. A two-story wooden building built in 1935, recently renovated. Main entrance is accessible via two steps. No elevator. Street parking available. Building equipped with basic smoke detectors. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6821° N, 18.0915° W. Nearest landmark: Akureyri Art Museum.
25-year-old male, experiencing severe shortness of breath and wheezing. Patient is conscious but appears anxious and is struggling to speak in full sentences. Primary symptoms: Significant dyspnea, audible wheezing, chest tightness, use of accessory muscles for breathing. Secondary symptoms: Mild cyanosis around lips, increased heart rate, diaphoresis. Patient is sitting upright, leaning forward. Medical history: Diagnosed with asthma since childhood, known allergies to pollen and dust mites. Medications: Salbutamol inhaler (Ventolin) as needed, Fluticasone inhaler (Flovent) daily, both have been used today with no relief. Last meal was a sandwich at 12:00.
Timeline: 1300 hours: Patient began feeling mild shortness of breath 1315 hours: Symptoms worsened, began using Salbutamol inhaler with minimal relief 1330 hours: Patient used Fluticasone inhaler, no change 1340 hours: Symptoms rapidly escalated, severe shortness of breath, chest tightness 1345 hours: Patient called emergency services 1347 hours: Current time, patient experiencing significant respiratory distress. Prior Events: Patient has had multiple asthma exacerbations in the past, requiring emergency room visits. Last exacerbation was 3 months ago. Patient reports recent exposure to dust and pollen. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Patient is experiencing significant respiratory distress with symptoms indicating severe asthma attack - Presence of cyanosis and use of accessory muscles suggests potential respiratory failure - Time-sensitive condition requiring prompt medical intervention to prevent further deterioration Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely, no reported exposure to known allergens other than pollen and dust mites) 3. Pneumothorax (less likely, no history of trauma or sudden onset of sharp chest pain) 4. Acute Bronchitis (less likely given history of asthma) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - Nebulized bronchodilators (Salbutamol and Ipratropium) administration - Corticosteroid administration - Continuous monitoring of vital signs and respiratory status - Preparation for transport to nearest hospital with respiratory care facilities