Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. A four-story concrete building built in 1985. Main entrance with a key code, elevator and central staircase available. Street parking. Building has a fire alarm system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6822° N, 18.0898° W. Nearest landmark: Akureyri Art Museum.
48-year-old male, experiencing severe shortness of breath. Primary symptoms: Audible wheezing, rapid breathing, use of accessory muscles, and chest tightness. Patient is anxious and pale. Secondary symptoms: Productive cough with clear sputum. Patient is sitting upright, struggling to breathe. Medical history: Asthma diagnosed in childhood, allergic rhinitis. Medications: Salbutamol inhaler (Ventolin) as needed, Fluticasone inhaler (Flovent) 250mcg twice daily, Loratadine 10mg daily. Known allergies: Pollen and dust mites. Last meal was a sandwich at 12:00.
Timeline: 1300 hours: Patient started feeling mild shortness of breath 1315 hours: Symptoms worsened, wheezing started 1320 hours: Patient used Salbutamol inhaler, no improvement 1325 hours: Symptoms progressed to severe shortness of breath and chest tightness 1330 hours: Patient called emergency services 1332 hours: Current time, patient is in severe respiratory distress Prior Events: Patient reports a recent upper respiratory infection. He has had several asthma exacerbations in the past year, requiring emergency department visits. Last asthma check-up was 6 months ago, no changes in medication.
Initial Impression: Severe Asthma Exacerbation Justification for F2 Classification: - High risk of respiratory failure if not promptly treated - Patient exhibiting signs of severe distress, including wheezing, tachypnea, and use of accessory muscles - Time-sensitive condition requiring immediate intervention Differential Diagnoses: 1. Asthma Exacerbation (high probability) 2. Acute Bronchitis (less likely due to severity and history) 3. Pneumonia (less likely due to lack of fever) 4. Pulmonary Embolism (low probability given history and symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - Bronchodilator therapy - Preparation for transport to nearest hospital