Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building, built in 1950. Main entrance is street level, no stairs. One main door. No security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6825° N, 18.0898° W. Nearest landmark: Akureyri Art Museum.
35-year-old male, experiencing severe shortness of breath. Primary symptoms: Wheezing, chest tightness, severe dyspnea, use of accessory muscles for breathing. Secondary symptoms: Agitation, mild cyanosis around lips. Patient is conscious but struggling to speak in full sentences. Patient sitting upright, leaning forward. Medical history: Asthma diagnosed in childhood, seasonal allergies. Medications: Salbutamol inhaler (Ventolin), Fluticasone inhaler (Flovent). Last used Salbutamol inhaler 10 minutes ago with minimal relief. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1300 hours: Patient started experiencing mild shortness of breath. 1315 hours: Symptoms worsened rapidly, wheezing and chest tightness started. 1320 hours: Patient used Salbutamol inhaler, no significant improvement. 1325 hours: Patient called emergency services. 1327 hours: Current time, patient is struggling to breathe, agitated. Prior Events: Patient has a history of asthma exacerbations, usually controlled with inhalers. Reports a recent upper respiratory infection 3 days ago. No recent changes in medication or environmental exposures. Patient lives alone.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Severe respiratory distress with significant dyspnea and use of accessory muscles - Symptoms not relieved by initial Salbutamol inhaler use - Potential for rapid deterioration into respiratory failure - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely, no known allergies or exposure) 3. Pneumonia (less likely given rapid onset of symptoms) 4. Pulmonary Embolism (lower probability, no risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and ventilation support if needed - Administration of bronchodilators and corticosteroids - Rapid transport to nearest hospital