Hafnarstræti 18, 600 Akureyri. Third floor, apartment 3B. Four-story concrete building built in 1965. Main entrance with key code access. Elevator and stairwell available. Street parking. Fire alarm system. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.6825° N, 18.0920° W. Nearest landmark: Akureyri Art Museum.
35-year-old male, experiencing severe asthma exacerbation. Primary symptoms: Severe shortness of breath, wheezing, chest tightness, unable to speak in full sentences. Secondary symptoms: Rapid breathing, pale skin, anxious. Patient is conscious but agitated. Medical history: Diagnosed with asthma at age 10, multiple previous hospitalizations for asthma exacerbations. Allergies: Dust mites, pollen. Medications: Salbutamol inhaler (Ventolin) - patient has used 4 puffs in the last 10 minutes with no relief, Beclomethasone inhaler (Qvar) 200mcg twice daily. Last oral intake: Small sandwich at 11:00. No recent illnesses.
Timeline: 12:00 hours: Patient reports feeling slightly short of breath while walking home 12:10 hours: Symptoms rapidly worsened, developed severe wheezing and chest tightness 12:15 hours: Patient used salbutamol inhaler 2 puffs, no improvement 12:20 hours: Patient used 2 additional puffs of salbutamol, minimal relief 12:22 hours: Patient called emergency services, now struggling to breathe Prior Events: Patient reports a history of poorly controlled asthma, with several exacerbations per year. Last asthma attack requiring medical intervention was 6 months ago. No recent changes in medication. Patient is a non-smoker.
Initial Impression: Severe Asthma Exacerbation Justification for F2 Classification: - High probability of respiratory failure due to severe symptoms and lack of response to initial treatment - Patient unable to speak in full sentences, severe shortness of breath, and wheezing - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Severe Asthma Exacerbation (high probability) 2. Acute Bronchitis (less likely given history of asthma) 3. Anaphylaxis (less likely, no known allergies to triggers) 4. Pneumonia (less likely, no fever or productive cough) Required Actions: - Dispatch of ground EMS with ALS capabilities - Administration of supplemental oxygen - Preparation for advanced airway management if needed - Rapid transport to nearest hospital with respiratory services