Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building built in 1955. Main entrance is on the street level, no stairs. One accessible entrance with a ramp. No security system. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6836° N, 18.0935° W. Nearest landmark: Akureyri Art Museum.
35-year-old male, experiencing severe shortness of breath and wheezing. Primary symptoms: Severe dyspnea, audible wheezing, use of accessory muscles for breathing, chest tightness. Secondary symptoms: Agitation, mild cyanosis around lips. Patient is conscious but distressed. Patient is sitting upright on a chair in his office. Medical history: Asthma diagnosed in childhood, seasonal allergies. Medications: Salbutamol inhaler (Ventolin) as needed, Fluticasone inhaler (Flovent) 250 mcg twice daily. Allergies: Pollen. Last meal was a sandwich at 11:00.
Timeline: 1300 hours: Patient began experiencing mild shortness of breath 1315 hours: Symptoms worsened, with increased wheezing and chest tightness 1320 hours: Patient used his salbutamol inhaler, with minimal relief 1325 hours: Patient called emergency services 1327 hours: Current time, patient still struggling to breathe, unable to speak in full sentences Prior Events: Patient has had several asthma exacerbations in the past year, requiring emergency treatment. Last medical check-up 6 months ago, routine asthma follow-up. Patient reports a recent increase in pollen levels in the area. No recent illnesses or injuries. Patient has been under stress at work.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Severe respiratory distress with significant symptoms - Patient's condition is rapidly deteriorating, requiring urgent intervention - High risk of respiratory failure if not treated promptly Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely, no known exposure to allergens) 3. Acute Bronchitis (less likely given the severity of symptoms and patient history) 4. Pulmonary Embolism (lower probability, no risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - Supplemental oxygen administration - Bronchodilator therapy initiation - Preparation for transport to nearest hospital with respiratory services