Hafnarstræti 18, 600 Akureyri, third floor, apartment 3B. Four-story concrete building built in 1965, with a single main entrance requiring a key or intercom. Elevator and stairwell access. Street parking available. Fire alarm system present. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6827° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
35-year-old male, experiencing severe shortness of breath. Primary symptoms: Difficulty breathing, wheezing, chest tightness, use of accessory muscles. Patient reports a history of asthma. Secondary symptoms: Mild cyanosis around lips, anxious, speaking in short sentences. Patient is sitting upright in his living room. Medical history: Asthma diagnosed in childhood, seasonal allergies. Medications: Salbutamol inhaler (as needed), Fluticasone inhaler (daily). Allergies: Pollen, dust mites. Last meal was a sandwich at 13:00. No recent illnesses reported.
Timeline: 1400 hours: Patient began experiencing mild shortness of breath 1415 hours: Symptoms worsened, wheezing started 1420 hours: Patient used Salbutamol inhaler, with minimal relief 1425 hours: Symptoms progressed to severe shortness of breath and chest tightness 1428 hours: Patient called emergency services 1430 hours: Current time, patient in severe respiratory distress Prior Events: Patient reports several asthma exacerbations per year, usually managed at home with inhalers. Last asthma related medical visit was 6 months ago, routine check-up. No recent changes in medication or environment. No recent exposure to known allergens. Patient has been feeling slightly under the weather for the last two days, but no fever.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Patient experiencing severe respiratory distress with wheezing, use of accessory muscles, and mild cyanosis - History of asthma, known trigger factors - 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 allergens recently exposed to) 3. Pneumonia (less likely, no fever or productive cough) 4. Pulmonary Embolism (less likely, no history of DVT or recent surgery) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Bronchodilator administration - Preparation for transport to nearest hospital with respiratory support capabilities