Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. A four-story concrete building built in 1965. Main entrance has a key code, 1978. There is an elevator and a central stairwell. Street parking is available. The building has a fire alarm system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6822° N, 18.0894° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing severe shortness of breath. Primary symptoms: Rapid, labored breathing, chest tightness, productive cough with yellowish sputum. Secondary symptoms: Anxiety, diaphoresis, cyanosis around lips. Patient is conscious but distressed. Medical history: COPD diagnosed 5 years ago, hypertension, type 2 diabetes. Medications: Salbutamol inhaler (as needed), Fluticasone/Salmeterol inhaler (twice daily), Metformin 1000mg daily, Lisinopril 10mg daily. Allergies: Penicillin. Last meal was a light lunch at 12:30.
Timeline: 1400 hours: Patient began experiencing mild shortness of breath 1430 hours: Shortness of breath worsened, productive cough started 1445 hours: Patient used salbutamol inhaler, no relief 1450 hours: Patient's breathing became more labored, chest tightness developed 1455 hours: Patient called his son for help 1500 hours: Son arrived and called emergency services 1502 hours: Current time, patient is sitting up, struggling to breathe Prior Events: Patient reports increased frequency of COPD exacerbations in the past year. Last hospital admission for COPD was 6 months ago. Last medical check-up was 2 months ago. Patient lives alone, but son lives nearby.
Initial Impression: Acute Exacerbation of COPD Justification for F2 Classification: - Significant respiratory distress with signs of hypoxia (cyanosis) - History of COPD and recent exacerbations - Time-sensitive condition requiring rapid intervention to prevent respiratory failure Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (possible, given productive cough) 3. Pulmonary Embolism (less likely, no sudden onset of pleuritic chest pain) 4. Acute Heart Failure (less likely, no history of heart failure) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - Bronchodilator therapy - Continuous vital sign monitoring - Preparation for transport to nearest hospital