Hafnarstræti 18, 600 Akureyri, ground floor. Two-story wooden building built in 1935. Main entrance faces the street, no steps. No elevator. Street parking available. No security features. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6832° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
45-year-old male, experiencing severe shortness of breath. Primary symptoms: Severe dyspnea, wheezing, chest tightness, non-productive cough. Secondary symptoms: Agitation, mild cyanosis around lips. Patient is conscious but struggling to speak. Known history of asthma, currently using an inhaler. Patient is sitting upright on a chair in his living room. Environment is calm. No visible hazards.
Timeline: 1000 hours: Patient reports feeling mild chest tightness and wheezing 1015 hours: Symptoms worsened rapidly, patient used his inhaler with minimal relief 1020 hours: Patient called his brother for help 1025 hours: Brother arrived, found patient in severe respiratory distress and called emergency services 1027 hours: Current time, patient is still experiencing severe respiratory distress Prior Events: Patient has a history of moderate asthma, usually well-controlled with inhaler. No recent respiratory infections or changes in medication. Last asthma exacerbation 6 months ago. Patient is a non-smoker. No known allergies.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Moderate to severe respiratory distress with wheezing and cyanosis - Patient not responding to usual inhaler use - Potential for rapid deterioration requiring prompt intervention - Time-sensitive condition that could progress to respiratory failure Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely, no known allergies or recent exposure) 3. Acute Bronchitis (less likely, acute onset and severity) 4. Pulmonary Embolism (less likely, no risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and bronchodilator therapy - Continuous monitoring of respiratory status and vital signs - Preparation for possible intubation if condition worsens