Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building, built in 1930, main entrance on street level, no elevator, one main staircase. Parking available on the street. Building has a basic fire alarm system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6823° N, 18.0921° W. Nearest landmark: Akureyri Art Museum.
35-year-old male, experiencing severe shortness of breath. Primary symptoms: Difficulty breathing, wheezing, chest tightness, use of accessory muscles. Patient is conscious but agitated. Secondary symptoms: Increased heart rate, diaphoresis, cyanosis around lips. Patient is sitting upright in a chair, struggling to breathe. Medical history: Diagnosed with asthma since childhood, known allergies to pollen and dust. Medications: Salbutamol inhaler (2 puffs as needed), Fluticasone inhaler (2 puffs twice daily). No recent hospitalizations. Last meal was a sandwich at 12:00.
Timeline: 1300 hours: Patient began experiencing mild shortness of breath 1315 hours: Symptoms worsened rapidly, with increased wheezing and chest tightness 1320 hours: Patient attempted to use salbutamol inhaler, with minimal relief 1325 hours: Patient called emergency services, current time Prior Events: Patient reports a history of asthma exacerbations, usually controlled with inhalers. Reports increased exposure to dust in his workplace recently. No recent upper respiratory infections. Last doctor's appointment 6 months ago, routine check-up. Patient lives alone.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Severe respiratory distress with signs of airway obstruction - Inadequate response to initial treatment (salbutamol inhaler) - Potential for rapid deterioration requiring urgent intervention Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely, no known exposure to allergens besides known ones) 3. Pneumonia (less likely, no fever reported) 4. Pulmonary Embolism (less likely, no risk factors reported) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and nebulized bronchodilator treatment - Continuous monitoring of respiratory status and vital signs - Preparation for transport to nearest hospital