Hafnarstræti 18, 600 Akureyri, Ground floor of a two-story wooden building, built in 1950. Main entrance faces the street, no security features. Street parking available. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6824° N, 18.0888° W. Nearest landmark: Akureyri Art Museum.
28-year-old male, experiencing severe shortness of breath and wheezing. Primary symptoms: Severe dyspnea, audible wheezing, use of accessory muscles for breathing. Secondary symptoms: Mild chest tightness, anxiety, pale skin. Patient is conscious and able to speak in short sentences. Patient is sitting upright in his living room. Medical history: Asthma diagnosed in childhood, previously well-controlled. Medications: Salbutamol inhaler (Ventolin) 100mcg PRN, Fluticasone inhaler (Flovent) 250mcg BID. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1300 hours: Patient started feeling slightly short of breath 1315 hours: Symptoms worsened, started wheezing 1320 hours: Patient used his salbutamol inhaler, no relief 1325 hours: Patient called emergency services 1328 hours: Current time, patient struggling to breathe, unable to speak full sentences. Prior Events: Patient reports having a cold for the past 3 days. Last asthma exacerbation was 2 years ago, required a short course of oral steroids. Patient has not changed his medication regimen recently. No recent hospitalizations. No recent travel. Patient lives alone.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - High probability of respiratory compromise based on symptoms and history - Patient experiencing severe dyspnea and wheezing, not responding to initial bronchodilator - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Upper Respiratory Infection (possible contributing factor) 3. Pneumonia (less likely given acute onset and wheezing) 4. Allergic Reaction (less likely, no known allergies and no new exposures) Required Actions: - Dispatch of ground EMS with ALS capabilities - Administration of oxygen and bronchodilators as per protocol - Preparation for transport to nearest hospital with respiratory services