Hafnarstræti 22, 600 Akureyri, ground floor of a two-story wooden building built in 1955. Main entrance faces the street, no steps. No elevator. Side entrance for deliveries. Street parking available. Building equipped with smoke detectors. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6816° N, 18.0892° W. Nearest landmark: Akureyri Art Museum.
75-year-old male, experiencing severe shortness of breath. Primary symptoms: Labored breathing, wheezing, productive cough with yellowish sputum, chest tightness. Secondary symptoms: Mild cyanosis around lips, anxiety, unable to speak in full sentences. Patient is sitting upright, leaning forward. Medical history: COPD diagnosed 5 years ago, previous hospitalization for pneumonia. Medications: Salbutamol inhaler (2 puffs as needed), Tiotropium inhaler (1 puff daily), Prednisone 5mg daily, Atorvastatin 20mg daily. Allergies: None known. Last meal was a light lunch at 12:30.
Timeline: 1300 hours: Patient started feeling slightly short of breath 1330 hours: Symptoms worsened, started coughing with yellow sputum 1345 hours: Patient used Salbutamol inhaler, no relief 1350 hours: Patient developed chest tightness and increased breathing difficulty 1355 hours: Patient called his son for help 1400 hours: Son arrived, called emergency services 1402 hours: Current time, patient still having severe respiratory distress Prior Events: Patient had a mild cold last week, no fever. Last COPD exacerbation 6 months ago. Routine check-up with pulmonologist 2 months ago. Patient lives with his wife, who is also elderly but healthy. No recent changes in medication or activity levels.
Initial Impression: Acute Exacerbation of COPD with possible Respiratory Infection Justification for F2 Classification: - Moderate respiratory distress, potential for rapid deterioration - Patient history of COPD and previous respiratory complications - Time-sensitive condition requiring immediate medical intervention Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (high probability given productive cough) 3. Pulmonary Embolism (less likely, no sudden onset of sharp chest pain) 4. Acute Heart Failure (less likely, no history of heart failure) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - Monitoring of respiratory status and vital signs - Preparation for transport to nearest hospital with respiratory services