Hafnarstræti 18, 600 Akureyri. Ground floor of a two-story commercial building, built in 1965. Main entrance on Hafnarstræti. One secondary entrance at the back of the building, used for deliveries. No elevator. Street parking available. Building has standard security locks. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6813° N, 18.0903° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe shortness of breath. Primary symptoms: Difficulty breathing, wheezing, chest tightness. Secondary symptoms: Mild cyanosis around the lips, productive cough with yellow sputum. Patient is conscious but appears anxious. Patient sitting upright in a chair. Medical history: COPD diagnosed 5 years ago, type 2 diabetes. Medications: Salbutamol inhaler (as needed), Formoterol inhaler (twice daily), Metformin 1000mg daily, Simvastatin 20mg daily. Known allergy to penicillin. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient started feeling unwell, mild cough 1430 hours: Shortness of breath began, progressively worsening 1445 hours: Patient used his salbutamol inhaler with minimal relief 1450 hours: Patient became more distressed, cough intensified, began producing sputum 1455 hours: Caller (patient's son) called emergency services 1500 hours: Current time, patient still experiencing severe respiratory distress Prior Events: Patient had a mild respiratory infection two weeks ago, treated with over-the-counter medications. Last medical check-up 6 months ago, routine follow-up for COPD and diabetes. Patient lives with his son.
Initial Impression: Acute Exacerbation of COPD Justification for F2 Classification: - Moderate respiratory distress with wheezing and cyanosis - Patient has a history of COPD, increasing risk of rapid deterioration - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (possible, given productive cough) 3. Pulmonary Embolism (less likely given no reported chest pain or recent surgery) 4. Acute Heart Failure (less likely, no history of cardiac issues) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Bronchodilator administration - Preparation for transport to nearest hospital with respiratory support