Hafnarstræti 18, 600 Akureyri, first floor. Two-story wooden building constructed in 1925. Main entrance on the street level, no elevator, narrow staircase to the second floor. Street parking available. No specific security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6824° N, 18.0916° W. Nearest landmark: Akureyri Art Museum.
35-year-old male, experiencing severe shortness of breath. Primary symptoms: Difficulty breathing, wheezing, chest tightness. Patient is conscious but agitated, using accessory muscles to breathe. Secondary symptoms: Increased heart rate, mild cyanosis around lips. Patient sitting upright, unable to speak in full sentences. Medical history: Diagnosed with asthma at age 10. Medications: Salbutamol inhaler (Ventolin) - patient states it is empty, Fluticasone inhaler (Flovent) - last used yesterday. No known allergies. Last meal was lunch at 13:00.
Timeline: 1445 hours: Patient began feeling mild shortness of breath 1500 hours: Symptoms worsened, patient used salbutamol inhaler with no relief 1510 hours: Symptoms progressed to severe difficulty breathing, chest tightness, wheezing 1515 hours: Patient called emergency services 1517 hours: Current time, patient in severe respiratory distress Prior Events: Patient reports having asthma attacks approximately once every 2-3 months, usually controlled with salbutamol. Patient reports a recent upper respiratory infection over the last 3 days. No recent hospitalizations related to asthma. Last medical check-up 6 months ago, routine follow-up. Patient lives with his partner.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Severe respiratory distress, use of accessory muscles, wheezing, cyanosis - Patient reports no response to salbutamol, indicating severe exacerbation - Time-sensitive condition requiring prompt medical intervention to prevent respiratory failure Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely, no reported allergies or known triggers) 3. Pneumonia (less likely, no fever reported) 4. Pulmonary Embolism (less likely, no risk factors reported) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy administration - Bronchodilator therapy initiation - Preparation for transport to nearest hospital with respiratory services