Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. A five-story reinforced concrete building built in 1985. The main entrance has a coded lock (code: 1234). There is an elevator and a central stairwell. Street parking is available. The building is equipped with a fire alarm system. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6810° N, 18.0895° W. Nearest landmark: Hof Cultural and Conference Center.
68-year-old male, experiencing severe shortness of breath and chest tightness. Patient is conscious but appears anxious. Initial symptoms began approximately 1 hour ago and have progressively worsened. Patient reports a history of COPD and recent upper respiratory infection. Patient is sitting upright in a chair, struggling to breathe. Secondary symptoms include cyanosis around the lips and fingertips. Patient states he feels like he is suffocating. Medical history: COPD diagnosed 10 years ago, hypertension, Type 2 Diabetes. Medications: Salmeterol/Fluticasone inhaler 50/250 mcg twice daily, Metformin 500mg twice daily, Lisinopril 10mg daily. Allergies: Sulfa drugs. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient started feeling slightly short of breath, attributed it to usual COPD symptoms 1430 hours: Shortness of breath worsened, accompanied by chest tightness 1445 hours: Patient attempted to use his inhaler, with minimal relief 1450 hours: Patient became increasingly anxious and called his son for help 1455 hours: Son arrived, noted patient's cyanosis, and called emergency services 1500 hours: Current time, patient still in respiratory distress Prior Events: Patient had a mild upper respiratory infection 3 days ago, which he thought was resolving. No recent hospitalizations. Last check-up 2 months ago for routine COPD management. Patient lives alone, but his son lives nearby.
Initial Impression: Acute Exacerbation of COPD with Respiratory Distress Justification for F2 Classification: - Patient experiencing severe respiratory distress with cyanosis, indicating potential hypoxia - History of COPD and recent respiratory infection increases risk of rapid deterioration - Time-sensitive condition requiring prompt medical intervention, including oxygen therapy and potential bronchodilators Differential Diagnoses: 1. Acute Exacerbation of COPD (most likely) 2. Pneumonia (possible given recent URI) 3. Pulmonary Embolism (less likely, no sudden onset of symptoms) 4. Acute Coronary Syndrome (less likely, no reported chest pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and airway management - Bronchodilator administration - Preparation for transport to nearest hospital with respiratory services