Hafnarstræti 78, 600 Akureyri. Ground floor commercial space, single story building constructed in 1995. Main entrance is street level, no steps. No elevator. Street parking available. Building has a basic fire alarm. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6821° N, 18.0887° W. Nearest landmark: Hof Cultural and Conference Center.
31-year-old male, severe shortness of breath, wheezing, and chest tightness. Patient reports a history of asthma, but has not used his inhaler today. Symptoms started suddenly 15 minutes ago. Patient is conscious but struggling to speak. Patient is sitting upright, leaning forward. Skin is pale and diaphoretic. No known allergies. Current medications: Salbutamol inhaler (as needed), Beclomethasone inhaler (daily). Last meal was a sandwich at 12:00.
Timeline: 1310 hours: Patient started feeling mild chest tightness and slight shortness of breath. 1315 hours: Symptoms rapidly worsened to severe shortness of breath, wheezing, and chest tightness. Patient is unable to speak in full sentences. 1318 hours: Patient called emergency services. 1320 hours: Current time, patient is sitting upright, struggling to breathe. Prior Events: Patient has a history of asthma diagnosed at age 10. Has been generally well controlled with inhalers. Reports a recent upper respiratory infection a week ago. Has not had an asthma exacerbation for 6 months. No recent changes in medications or environmental exposures.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Severe respiratory distress with wheezing and chest tightness - History of asthma with rapid symptom progression - Potential for rapid deterioration to respiratory failure - Time-sensitive condition requiring prompt intervention Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely, no known allergies, no urticaria) 3. Pneumonia (less likely, no fever or productive cough reported) 4. Pulmonary Embolism (less likely, no risk factors reported) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and monitoring - Bronchodilator administration (Salbutamol) via nebulizer if available - Preparation for transport to nearest hospital with respiratory services