Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. Four-story concrete residential building constructed in 1965. 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: 65.6819° N, 18.0923° W. Nearest landmark: Akureyri Art Museum.
35-year-old male, experiencing severe shortness of breath and wheezing. Primary symptoms: Severe dyspnea, audible wheezing, rapid shallow breathing, use of accessory muscles. Secondary symptoms: Chest tightness, mild cyanosis around lips, anxious and agitated. Patient sitting upright, leaning forward. Medical history: Asthma diagnosed in childhood, previous hospitalizations for exacerbations. Medications: Salbutamol inhaler (Ventolin) - patient reports using it frequently in the last hour with no relief, Fluticasone inhaler (Flovent) - one puff twice daily, Montelukast 10mg daily. Allergies: Dust mites, pollen. Last meal was a sandwich at 11:00.
Timeline: 1300 hours: Patient started feeling mild chest tightness and shortness of breath 1315 hours: Symptoms worsened, started using Salbutamol inhaler every 10 minutes 1330 hours: Symptoms continued to escalate, patient unable to speak in full sentences 1340 hours: Patient called emergency services 1345 hours: Current time, patient still struggling to breathe, becoming more anxious Prior Events: Patient reports a mild upper respiratory infection for the past 3 days. Last asthma exacerbation was 6 months ago, requiring a short hospital stay. No recent changes in medication. Patient was exposed to cat dander at a friend's house yesterday.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - High probability of severe respiratory distress based on symptoms and history - Patient using accessory muscles, rapid breathing, and reports of ineffective inhaler use - Time-sensitive condition requiring immediate medical intervention to prevent respiratory failure Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Anaphylaxis (less likely, no reported allergen exposure today) 3. Pneumonia (less likely given the acute onset and wheezing) 4. Pulmonary Embolism (lower probability, no risk factors reported) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - Bronchodilator nebulization - Corticosteroid administration - Preparation for transport to nearest hospital with respiratory services