Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. A five-story concrete building, constructed in 1990. The main entrance is accessible via a coded door (code: 2468). There is an elevator and a central stairwell. Street parking is available. The building has a fire alarm system and sprinkler system. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6822° N, 18.0911° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing severe shortness of breath. Primary symptoms: Rapid and labored breathing, use of accessory muscles, wheezing, and cyanosis around the lips. Secondary symptoms: Anxiety, confusion, and chest tightness. Patient is conscious but appears distressed. Patient is sitting upright in a chair. Medical history: COPD diagnosed 5 years ago, history of smoking, and hypertension. Medications: Salbutamol inhaler (as needed), Beclomethasone inhaler (2 puffs twice daily), Lisinopril 10mg daily. No known allergies. Last meal was a small lunch at 13:00.
Timeline: 14:30 hours: Patient started experiencing increased shortness of breath 14:40 hours: Patient attempted to use his Salbutamol inhaler with minimal relief 14:45 hours: Symptoms worsened, patient became more anxious and confused 14:50 hours: Patient's son, Jónas, called emergency services 14:52 hours: Current time, patient still experiencing severe respiratory distress Prior Events: Patient has had several exacerbations of COPD in the past year, requiring hospitalization. Last medical check-up 2 months ago, routine follow-up. Patient lives with his son, who is present and assisting.
Initial Impression: Severe COPD Exacerbation with Respiratory Distress Justification for F2 Classification: - High probability of a severe respiratory event based on history and presentation - Patient showing signs of significant respiratory distress, including use of accessory muscles and cyanosis - Time-sensitive condition requiring immediate medical intervention to prevent respiratory failure Differential Diagnoses: 1. COPD Exacerbation (high probability) 2. Acute Pulmonary Embolism (less likely given history) 3. Pneumonia (less likely, no reported fever or productive cough) 4. Acute Heart Failure (less likely, no reported history of heart failure) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Bronchodilator administration - Preparation for transport to nearest hospital with respiratory support