Hafnarstræti 18, 600 Akureyri, first floor, apartment 103. Three-story concrete building, built in 1965. Main entrance with a coded lock, code 2345. Elevator and central staircase available. Street parking. Building has fire alarm system. Current conditions: 7°C, clear skies, good visibility. GPS coordinates: 65.6811° N, 18.0900° W. Nearest landmark: Akureyri Art Museum.
72-year-old male, experiencing severe shortness of breath and chest tightness. Patient is conscious but appears anxious and is having difficulty speaking in full sentences. Skin is pale and diaphoretic. Patient is sitting upright on the edge of his bed. Medical history: COPD, diagnosed 5 years ago, hypertension, and a history of mild heart failure. Medications: Salbutamol inhaler (as needed), Tiotropium inhaler (daily), Ramipril 5mg daily, Bisoprolol 2.5mg daily. Allergies: None known. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient began experiencing mild shortness of breath. 1415 hours: Shortness of breath worsened, accompanied by chest tightness. 1420 hours: Patient used his Salbutamol inhaler with minimal relief. 1425 hours: Patient called his son for help. 1430 hours: Son arrived, called emergency services. 1432 hours: Current time, patient is still experiencing severe respiratory distress. Prior Events: Patient has had several exacerbations of COPD in the past year, requiring hospital admissions. Last hospitalization 6 months ago. No recent illnesses or injuries. Last medical check-up 2 months ago, routine follow-up.
Initial Impression: Acute Exacerbation of COPD with Possible Cardiac Involvement Justification for F2 Classification: - Significant respiratory distress with potential for rapid deterioration - History of COPD and heart failure increases risk of life-threatening complications - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Acute Heart Failure (possible, given history) 3. Pulmonary Embolism (less likely, no risk factors reported) 4. Pneumonia (less likely, no fever reported) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - Continuous vital sign monitoring - Preparation for potential intubation - Rapid transport to hospital with respiratory and cardiac care capabilities