Hafnarstræti 18, 600 Akureyri, first floor of a three-story mixed-use building. Built in 1965, concrete structure. Main entrance at street level, no elevator. Street parking available. Building has basic security with a coded entrance. Current conditions: 7°C, overcast, light wind, good visibility. GPS coordinates: 65.6835° N, 18.0920° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe shortness of breath. Primary symptoms: Labored breathing, audible wheezing, chest tightness. Patient reports feeling increasingly breathless over the past hour. Secondary symptoms: Mild cyanosis around the lips, productive cough with clear sputum. Patient is conscious but anxious. Medical history: Chronic obstructive pulmonary disease (COPD), diagnosed 5 years ago. Medications: Salbutamol inhaler (2 puffs as needed), Fluticasone inhaler (2 puffs twice daily), Tiotropium inhaler (1 puff daily). Allergies: No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1300 hours: Patient began to experience mild shortness of breath. 1330 hours: Shortness of breath worsened, patient used salbutamol inhaler with minimal relief. 1400 hours: Symptoms continued to worsen, patient became increasingly anxious and called for help. 1405 hours: Current time, patient is struggling to breathe, wheezing audible. Prior Events: Patient reports a recent upper respiratory infection 3 weeks ago. No recent hospitalizations. Regularly uses prescribed inhalers, but reports occasional exacerbations of COPD symptoms. Last medical check-up 6 months ago, routine follow-up.
Initial Impression: Acute Exacerbation of COPD Justification for F2 Classification: - Patient experiencing significant respiratory distress with labored breathing and wheezing - History of COPD with recent exacerbation, indicating potential for rapid deterioration - Time-sensitive condition requiring prompt medical intervention to prevent respiratory failure Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (less likely, no fever reported) 3. Pulmonary Embolism (less likely, no sudden onset of chest pain) 4. Acute Bronchitis (possible, but COPD history makes exacerbation more likely) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Bronchodilator administration - Continuous monitoring of respiratory status - Preparation for transport to nearest hospital with respiratory services