Hafnarstræti 18, 600 Akureyri. Third floor apartment 3B in a four-story mixed-use building constructed in 1965. Main entrance with a buzzer system. No elevator, access via a single interior staircase. Street parking available. Building is equipped with a basic fire alarm system. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6817° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
31-year-old male, experiencing severe respiratory distress. Primary symptoms: severe shortness of breath, wheezing, chest tightness, use of accessory muscles. Patient is pale, diaphoretic, and visibly distressed. Secondary symptoms: mild cyanosis around the lips. Patient is conscious but agitated. Medical history: Asthma diagnosed in childhood, previous hospitalizations for asthma exacerbations. Medications: Salbutamol inhaler (Ventolin) - patient reports using it frequently today with little relief, Fluticasone inhaler (Flovent) - used daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient started experiencing mild shortness of breath and wheezing. 1430 hours: Symptoms worsened despite using salbutamol inhaler. 1500 hours: Patient reports severe difficulty breathing, chest tightness, and increased wheezing. 1510 hours: Patient called emergency services. 1512 hours: Current time, patient is sitting upright, struggling to breathe, pale and diaphoretic. Prior Events: Patient has had several asthma attacks in the past year, but none this severe. He reports a recent cold a week ago, but thought he was recovering. Last medical check-up was 6 months ago, routine asthma management appointment. Patient lives alone.
Initial Impression: Severe Asthma Exacerbation Justification for F2 Classification: - Severe respiratory distress with signs of respiratory compromise - Inadequate response to bronchodilator medication - Potential for rapid deterioration and respiratory failure - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Severe Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely given no known allergies or exposure) 3. Pulmonary Embolism (less likely given lack of risk factors and acute onset) 4. Pneumonia (less likely given rapid onset and history of asthma) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and assisted ventilation if necessary - Administration of bronchodilators and corticosteroids - Preparation for transport to nearest hospital with respiratory support capabilities