Hafnarstræti 23, 600 Akureyri, Ground floor of a three-story mixed-use building. Constructed in 1965, concrete structure. Main entrance on the street level. No elevator. Street parking available. Building has a central fire alarm system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6832° N, 18.0937° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe shortness of breath. Primary symptoms: Difficulty breathing, wheezing, chest tightness. Patient reports a history of asthma and COPD. Secondary symptoms: Increased heart rate, mild cyanosis around the lips. Patient is conscious but anxious. Patient is sitting upright in a chair at his office. Medical history: Asthma since childhood, COPD diagnosed 5 years ago, hypertension. Medications: Salbutamol inhaler (as needed), Fluticasone/Salmeterol inhaler (twice daily), Amlodipine 10mg daily. Allergies: Penicillin. Last meal was a light lunch at 12:30.
Timeline: 13:45 hours: Patient began experiencing shortness of breath while working at his desk. 13:50 hours: Symptoms worsened, with increased wheezing and chest tightness. 13:55 hours: Patient attempted to use his salbutamol inhaler, with minimal relief. 14:00 hours: Patient called emergency services. 14:02 hours: Current time, patient is still experiencing severe respiratory distress. Prior Events: Patient reports an upper respiratory infection 3 weeks ago. Patient has had several exacerbations of COPD in the past year. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, but has a colleague in the office.
Initial Impression: Acute Exacerbation of COPD with possible Asthma Component Justification for F2 Classification: - Severe respiratory distress with wheezing and cyanosis. - History of COPD and asthma, indicating a potential life-threatening exacerbation. - Time-sensitive condition requiring prompt medical intervention and oxygen therapy. Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Acute Asthma Exacerbation (high probability given history) 3. Pulmonary Embolism (less likely given history and presentation) 4. Acute Myocardial Infarction (less likely, no reported chest pain) 5. Pneumonia (less likely, no fever reported) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Bronchodilator administration - Preparation for transport to nearest hospital with respiratory services