Hafnarstræti 18, 600 Akureyri, ground floor. Two-story wooden building constructed in 1950. Main entrance at street level, no steps. No elevator. Street parking available. Building equipped with basic fire safety. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6821° N, 18.0889° W. Nearest landmark: Hof Cultural and Conference Center.
65-year-old male, experiencing severe shortness of breath. Primary symptoms: Difficulty breathing, rapid and shallow respirations, audible wheezing, cyanosis around lips. Secondary symptoms: Increased heart rate, anxiety, unable to speak in full sentences. Patient is sitting upright, leaning forward. Medical history: COPD diagnosed 5 years ago, hypertension, type 2 diabetes. Medications: Salbutamol inhaler (as needed), Fluticasone/Salmeterol inhaler (twice daily), Metformin 500mg twice daily, Lisinopril 10mg daily. Known allergy: Penicillin. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient began feeling mildly short of breath 1415 hours: Shortness of breath worsened rapidly, accompanied by wheezing 1420 hours: Patient used Salbutamol inhaler, no relief 1425 hours: Patient called his son for help 1430 hours: Son arrived, called emergency services 1432 hours: Current time, patient still struggling to breathe Prior Events: Patient reports several COPD exacerbations in the past year, managed with increased inhaler use. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, but son lives nearby. No recent illnesses reported.
Initial Impression: Acute COPD Exacerbation Justification for F2 Classification: - Respiratory distress with rapid onset and cyanosis indicates potential respiratory failure - Patient’s history of COPD and lack of response to bronchodilator increase severity - Time-sensitive condition requiring immediate oxygen therapy and advanced airway management if needed Differential Diagnoses: 1. COPD Exacerbation (high probability) 2. Pneumonia (possible, but less likely given rapid onset) 3. Pulmonary Embolism (less likely, no chest pain reported) 4. Acute Heart Failure (possible, given history of hypertension) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and respiratory support - Continuous monitoring of vital signs - Preparation for potential intubation and mechanical ventilation