Hafnarstræti 18, 600 Akureyri, first floor, retail space converted to office. Two-story concrete building constructed in 1965. Main entrance at street level, no elevator. Street parking available. Building has basic fire alarm system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6837° N, 18.0898° W. Nearest landmark: Hof Cultural and Conference Center.
62-year-old male, experiencing acute shortness of breath. Primary symptoms: Severe dyspnea, rapid and shallow breathing, chest tightness. Secondary symptoms: Wheezing, productive cough with white sputum, anxiety. Patient is conscious but appears distressed. Patient is sitting upright in an office chair. Medical history: COPD diagnosed 5 years ago, history of smoking, seasonal allergies. Medications: Salbutamol inhaler (as needed), Fluticasone/Salmeterol inhaler (twice daily), Montelukast 10mg daily. Known allergy to penicillin. Last meal was a sandwich at 12:00.
Timeline: 13:15 hours: Patient started feeling slightly short of breath while working at his desk. 13:20 hours: Symptoms progressively worsened, patient used his Salbutamol inhaler with minimal relief. 13:25 hours: Patient experienced increased chest tightness and began coughing with sputum. 13:30 hours: Patient called his coworker for help, coworker called emergency services. 13:32 hours: Current time, patient is struggling to breathe and is visibly anxious. Prior Events: Patient reports having a cold for the past three days, with worsening cough. Last COPD exacerbation was 6 months ago, treated with oral steroids. No recent changes in medications. Last medical check-up was 2 months ago, routine follow-up.
Initial Impression: Acute COPD Exacerbation with Respiratory Distress Justification for F2 Classification: - High risk of respiratory failure due to severe dyspnea and rapid breathing. - Patient has known COPD, increasing likelihood of acute exacerbation. - Time-sensitive condition requiring prompt medical intervention, oxygen administration and bronchodilators. Differential Diagnoses: 1. Acute COPD Exacerbation (high probability) 2. Acute Asthma Exacerbation (less likely, patient has history of COPD) 3. Pneumonia (possible, given recent cold symptoms) 4. Pulmonary Embolism (lower probability, no risk factors reported) 5. Acute Heart Failure (less likely, no reported history of heart conditions) Required Actions: - Dispatch of ground EMS with ALS capabilities - Administration of supplemental oxygen - Bronchodilator administration - Continuous monitoring of vital signs - Preparation for transport to nearest hospital with respiratory services