Hafnarstræti 18, 600 Akureyri, first floor of a two-story wooden building constructed in 1955. Main entrance is at street level. No elevator. One main staircase. Street parking available. Building has basic fire detection. Current conditions: 8°C, overcast, moderate visibility. GPS coordinates: 65.6832° N, 18.0921° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe shortness of breath. Primary symptoms: Labored breathing, rapid respiratory rate, audible wheezing, use of accessory muscles. Secondary symptoms: Chest tightness, anxiety, pale skin. Patient is conscious but struggling to speak. Patient is sitting upright in his chair. Medical history: COPD diagnosed 5 years ago, hypertension, type 2 diabetes. Medications: Salbutamol inhaler (2 puffs PRN), Fluticasone/Salmeterol inhaler (1 puff BID), Metformin 1000mg BID, Lisinopril 10mg daily. Allergies: Penicillin. Last meal was a light lunch at 12:00.
Timeline: 1300 hours: Patient started feeling slightly short of breath 1315 hours: Shortness of breath worsened, began using his salbutamol inhaler 1330 hours: Inhaler provided minimal relief, breathing became more labored 1340 hours: Patient called his son for help 1345 hours: Son arrived and called emergency services 1347 hours: Current time, patient is still struggling to breathe Prior Events: Patient reports a COPD exacerbation 3 months ago requiring a course of oral steroids. No recent infections or fever. Last medical check-up 2 months ago, routine follow-up. Patient lives with his wife, son lives nearby.
Initial Impression: Acute Exacerbation of COPD Justification for F2 Classification: - Severe respiratory distress with labored breathing and wheezing - Potential for rapid deterioration, requiring timely intervention - Patient has known history of COPD with recent exacerbation Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pulmonary Embolism (less likely, no sudden onset of chest pain) 3. Pneumonia (possible, but no reported fever) 4. Acute Heart Failure (less likely, no history of heart failure) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and respiratory support - Bronchodilator administration - Preparation for transport to nearest hospital with respiratory services