Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. Four-story concrete residential building constructed in 1985. Main entrance requires key or intercom. One elevator and central stairwell. Street parking available. Building equipped with fire alarm system. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6824° N, 18.0916° W. Nearest landmark: Akureyri Art Museum.
35-year-old male, severe shortness of breath. Primary symptoms: Audible wheezing, difficulty breathing, rapid respiratory rate, use of accessory muscles. Patient reports history of asthma, forgot his inhaler at home. Secondary symptoms: Mild chest tightness, anxiety. Patient is conscious but struggling to speak in full sentences. Skin is pale and clammy. Patient is sitting upright on a chair in his living room. Medical history: Asthma diagnosed in childhood, seasonal allergies. Medications: Budesonide/Formoterol inhaler 200/6 mcg (usually twice daily), Salbutamol inhaler (as needed). No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1330 hours: Patient started feeling mild shortness of breath while walking home 1345 hours: Shortness of breath worsened, developed wheezing, patient tried to use his inhaler, realized he forgot it at home 1350 hours: Patient's symptoms rapidly worsened, patient called emergency services 1355 hours: Current time, patient still struggling to breathe, unable to speak in full sentences Prior Events: Patient reports occasional asthma exacerbations, usually well-controlled with medication. Last asthma flare-up was 6 months ago. No recent illnesses or injuries. Last medical check-up 2 months ago, routine follow-up. Patient lives alone.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Significant respiratory distress with signs of airway obstruction - Patient has a known history of asthma, indicating potential for rapid deterioration - Time-sensitive condition requiring prompt medical intervention to prevent respiratory failure Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely, no known allergies or exposure) 3. Pneumonia (less likely, no fever or productive cough) 4. Pulmonary Embolism (less likely, no chest pain or risk factors) Required Actions: - Dispatch of ground EMS with ALS capabilities - Supplemental oxygen administration - Bronchodilator therapy initiation (nebulized Salbutamol if available) - Preparation for transport to nearest hospital