Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building. Main entrance is on the street level with a small step. No elevator access. Building is approximately 70 years old. Street parking available. Current conditions: 8°C, cloudy, good visibility. GPS coordinates: 65.6834° N, 18.0917° W. Nearest landmark: Akureyri Art Museum.
45-year-old male, experiencing severe shortness of breath. Primary symptoms: Wheezing, severe dyspnea, chest tightness, and use of accessory muscles for breathing. Secondary symptoms: Agitation, anxiety, and mild cyanosis around lips. Patient is conscious but distressed. History of asthma. Current medications: Salbutamol inhaler (Ventolin) 100mcg as needed, Fluticasone inhaler (Flixotide) 250mcg twice daily. No known allergies. Last meal was a light lunch at 13:00. Patient is at home, sitting upright in a chair.
Timeline: 1400 hours: Patient started experiencing mild shortness of breath. 1415 hours: Shortness of breath worsened, patient used salbutamol inhaler once with minimal relief. 1425 hours: Patient used salbutamol inhaler a second time, still with minimal relief. Symptoms continue to worsen. 1430 hours: Patient called emergency services, currently in severe distress. No known triggers identified. Patient reports no recent illnesses or changes in medications. Has had similar episodes in the past, but this is more severe. Last doctor visit was 6 months ago for routine asthma checkup.
Initial Impression: Acute Asthma Exacerbation, Severe. Justification for F2 Classification: - Patient presenting with severe respiratory distress, indicating a potential life-threatening condition if not promptly treated. - Use of accessory muscles, wheezing, and cyanosis are concerning signs. - History of asthma and lack of response to inhaler treatment. - Time-sensitive condition requiring prompt medical intervention to prevent respiratory failure. Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely, no known allergies and no signs of angioedema) 3. Pneumonia (less likely, no fever or cough reported) 4. Pulmonary Embolism (less likely, no chest pain reported) Required Actions: - Dispatch of ground EMS with ALS capabilities. - Oxygen administration upon arrival. - Administration of nebulized bronchodilators and possible corticosteroids. - Preparation for transport to nearest hospital with respiratory support capabilities.