Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. A five-story concrete building built in 1995. Main entrance has a key code. Elevator and central stairwell. Street parking. Building has fire safety features. Current conditions: 7°C, clear skies, good visibility. GPS coordinates: 65.6821° N, 18.0914° W. Nearest landmark: Hof Cultural and Conference Center.
68-year-old male, experiencing severe shortness of breath. Primary symptoms: Rapid, labored breathing, chest tightness, productive cough with yellow sputum. Secondary symptoms: Cyanosis around lips, confusion, anxiety. Patient sitting upright, struggling to breathe. Medical history: COPD diagnosed 5 years ago, hypertension, previous pneumonia. Medications: Salbutamol inhaler (as needed), Fluticasone inhaler (daily), Lisinopril 10mg daily. Allergies: Penicillin. Last meal was soup at 12:00. Patient has been feeling unwell since yesterday, symptoms worsened this morning.
Timeline: Yesterday 18:00: Patient started feeling unwell, mild cough. Today 08:00: Cough worsened, started producing yellow sputum. Today 10:00: Shortness of breath began, progressively worsened. Today 13:00: Patient became confused and anxious, called his son for help. Today 13:15: Son arrived, called emergency services. 13:18: Current time, patient still experiencing severe respiratory distress. Prior Events: Patient had a similar episode 2 years ago, required hospitalization for pneumonia. No recent changes in medication or health condition until yesterday. Patient lives alone, but son lives nearby.
Initial Impression: Acute Exacerbation of COPD with Possible Pneumonia Justification for F2 Classification: - Significant respiratory distress with cyanosis and altered mental status - High risk of rapid deterioration - Time-sensitive condition requiring immediate medical intervention Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (likely, given productive cough and history) 3. Pulmonary Embolism (less likely, no chest pain described) 4. Acute Heart Failure (possible, but less likely given history of COPD) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration initiation - Continuous vital sign monitoring - Preparation for potential intubation - Rapid transport to nearest hospital with respiratory care facilities