Hafnarstræti 22, 600 Akureyri, first floor, apartment 103. A five-story reinforced concrete building constructed in 1992. Main entrance requires an access code, 1234. One elevator and central stairwell. Street parking available. Building equipped with a sprinkler system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6832° N, 18.0921° W. Nearest landmark: Hof Cultural and Conference Center.
45-year-old male, experiencing severe shortness of breath. Primary symptoms: severe dyspnea, wheezing, productive cough with yellow sputum, use of accessory muscles for breathing, cyanosis around lips. Patient reports a history of asthma. Secondary symptoms: chest tightness, anxiety, unable to speak in full sentences. Patient is conscious but agitated. Skin is pale and clammy. Patient is sitting upright on the edge of his bed. Medical history: Asthma diagnosed in childhood, seasonal allergies. Medications: Salbutamol inhaler (as needed), Fluticasone inhaler (twice daily). Allergies: Pollen, dust mites. Last meal was a sandwich at 13:00.
Timeline: 1400 hours: Patient began experiencing mild shortness of breath 1415 hours: Symptoms worsened, patient used his Salbutamol inhaler, with minimal relief 1430 hours: Symptoms continued to escalate, patient developed wheezing and productive cough 1440 hours: Patient's condition rapidly deteriorated, severe dyspnea, cyanosis 1445 hours: Patient called emergency services 1447 hours: Current time, patient struggling to breathe, very anxious. Prior Events: Patient reports multiple asthma exacerbations in the past year, requiring emergency treatment twice. Last asthma check-up 2 months ago, with medication adjustment. No recent illnesses or injuries. Patient lives alone.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - High probability of severe respiratory compromise based on presentation - Patient exhibiting significant dyspnea, wheezing, cyanosis - Time-sensitive condition requiring immediate medical intervention Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Acute Bronchitis (less likely given history of asthma) 3. Pneumonia (less likely given lack of fever and rapid onset) 4. Pulmonary Embolism (less likely given absence of risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration protocols initiation - Preparation for potential intubation - Rapid transport to nearest hospital with respiratory services