Hafnarstræti 22, 600 Akureyri, third floor apartment 3B. A five-story concrete building, constructed in 1995. Main entrance has a key code and intercom system. There is one elevator and a central stairwell. Street parking available. Building has a fire alarm system. Current conditions: 7°C, overcast, light wind. GPS coordinates: 65.6812° N, 18.0895° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe shortness of breath. Primary symptoms: Rapid, labored breathing, chest tightness, and audible wheezing. Patient is pale and appears anxious. Secondary symptoms: Mild cyanosis around the lips, productive cough with clear sputum. Patient is sitting upright on the edge of his bed. Medical history: Chronic Obstructive Pulmonary Disease (COPD), diagnosed 5 years ago. Patient uses an inhaler daily. Medications: Salbutamol inhaler as needed, Tiotropium inhaler daily, Atorvastatin 20mg daily. Known allergy to penicillin. Last meal was a light lunch at 12:30.
Timeline: 1400 hours: Patient began feeling slightly short of breath while doing light housework 1415 hours: Symptoms worsened rapidly, patient reports feeling like he can't catch his breath 1420 hours: Patient tried using his Salbutamol inhaler, with minimal relief 1425 hours: Patient called his son for help 1430 hours: Son arrived, called emergency services 1432 hours: Current time, patient is still struggling to breathe, sitting upright on the bed. Prior Events: Patient has had several COPD exacerbations in the past year, requiring hospitalization. No recent infections reported. Last medical check-up was 2 months ago, routine follow-up. Patient lives with his wife, who is out at the moment.
Initial Impression: Acute COPD Exacerbation with Respiratory Distress Justification for F2 Classification: - Significant respiratory distress with signs of airway obstruction (wheezing) - Patient's history of COPD with recent exacerbations - Time-sensitive condition requiring immediate medical intervention Differential Diagnoses: 1. Acute COPD Exacerbation (high probability) 2. Acute Bronchitis (less likely given patient's history) 3. Pneumonia (less likely without fever or significant purulent sputum) 4. Pulmonary Embolism (lower probability, no reported chest pain or risk factors) 5. Acute Heart Failure (lower probability, no reported history of heart disease) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - Bronchodilator administration - Preparation for transport to nearest hospital with respiratory services