Hafnarstræti 18, 600 Akureyri, Ground floor of a two-story wooden building, built in 1925, main entrance facing the street, no elevator. Street parking available, limited space in front of the building. Building equipped with a basic smoke detector system. Current conditions: 7°C, clear sky, good visibility. GPS coordinates: 65.6836° N, 18.0905° W. Nearest landmark: Akureyri Art Museum.
55-year-old male, experiencing severe shortness of breath. Primary symptoms: severe dyspnea, wheezing, chest tightness, unable to speak in full sentences. Secondary symptoms: anxiety, mild cyanosis around lips. Patient is sitting upright, using accessory muscles to breathe. Medical history: Diagnosed with asthma at age 10, previous hospitalizations for asthma exacerbations. Medications: Salbutamol inhaler (2 puffs as needed, last used 10 minutes ago with no relief), Fluticasone inhaler (2 puffs daily). Allergies: Dust mites, pollen. Last meal was a sandwich at 12:00.
Timeline: 1300 hours: Patient started feeling mild chest tightness and shortness of breath. 1310 hours: Symptoms worsened, patient used Salbutamol inhaler with no relief. 1315 hours: Patient's breathing became more labored, wheezing increased. 1320 hours: Patient called emergency services, unable to speak in full sentences due to shortness of breath. 1322 hours: Current time, patient is sitting upright, visibly distressed. Prior Events: Patient has had several asthma exacerbations in the past year, with two requiring hospitalization. He has been compliant with his medication regimen. No recent infections or triggers known. Patient was working in his garden earlier today.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Severe respiratory distress with wheezing and cyanosis - Unresponsive to initial bronchodilator therapy - Potential for rapid deterioration to respiratory failure - Time-sensitive condition requiring immediate medical intervention Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely, no known allergen exposure) 3. Pulmonary Embolism (less likely, no risk factors) 4. Pneumonia (less likely, no fever or productive cough) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - Nebulized bronchodilator therapy - Corticosteroid administration - Preparation for transport to nearest hospital with respiratory services