Hafnarstræti 18, 600 Akureyri, first floor, apartment 103. Three-story brick building built in 1968. Main entrance is accessible via a ramp. One elevator and central staircase. Street parking available. Building has a basic fire alarm system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6837° N, 18.0914° W. Nearest landmark: Hof Cultural and Conference Center.
70-year-old male, experiencing severe shortness of breath at home. Primary symptoms: Labored breathing, wheezing, productive cough with yellow sputum, cyanosis around the lips. Secondary symptoms: Increased heart rate, anxiety, patient is unable to speak in full sentences. Patient is sitting upright, leaning forward, using accessory muscles to breathe. Medical history: COPD diagnosed 5 years ago, hypertension, type 2 diabetes. Medications: Salbutamol inhaler (2 puffs as needed), Tiotropium inhaler (1 puff daily), Metformin 500mg twice daily, Amlodipine 5mg daily. Allergies: None known. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient reports mild shortness of breath 1430 hours: Shortness of breath worsens, patient starts wheezing 1445 hours: Patient uses Salbutamol inhaler, no relief 1450 hours: Patient coughs up yellow sputum, becomes increasingly anxious 1455 hours: Caller (patient's son) arrives, calls emergency services 1500 hours: Current time, patient in severe respiratory distress Prior Events: Patient had a mild upper respiratory infection 2 weeks ago, no recent hospitalizations. Usually manages COPD with inhalers. Last check-up 2 months ago, routine follow-up. Patient lives alone but son visits daily.
Initial Impression: Acute Exacerbation of COPD Justification for F2 Classification: - Significant respiratory distress, cyanosis, and inability to speak in full sentences - Potential for rapid deterioration, requiring prompt intervention - Time-sensitive condition needing oxygen therapy and bronchodilators Differential Diagnoses: 1. Acute Exacerbation of COPD (most likely) 2. Pneumonia (possible, given productive cough) 3. Pulmonary Embolism (less likely, no reported chest pain) 4. Acute Heart Failure (less likely, no known 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 services