Hafnarstræti 18, 600 Akureyri, ground floor, apartment 1. Two-story wooden building constructed in 1935. Main entrance accessible via two steps. No elevator, one internal staircase. Street parking available. Building equipped with smoke detectors. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6822° N, 18.0901° W. Nearest landmark: Akureyri Art Museum.
45-year-old male, experiencing severe shortness of breath and wheezing. Primary symptoms: Difficulty breathing, audible wheezing, rapid heart rate. Secondary symptoms: Chest tightness, use of accessory muscles, anxiety. Patient is conscious but struggling to speak in full sentences. Skin pale and clammy. Patient sitting upright on a chair in the living room. Medical history: Asthma diagnosed in childhood, seasonal allergies. Medications: Salbutamol inhaler (Ventolin) 100mcg as needed, Fluticasone inhaler (Flixotide) 250mcg twice daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1300 hours: Patient began experiencing mild shortness of breath 1315 hours: Symptoms worsened, wheezing developed 1330 hours: Patient used his salbutamol inhaler with minimal relief 1340 hours: Symptoms continued to worsen, chest tightness increased 1345 hours: Patient called emergency services 1347 hours: Current time, patient still experiencing severe respiratory distress Prior Events: Patient reports frequent asthma exacerbations, usually managed at home with inhalers. Last exacerbation was two months ago. No recent illnesses. Last medical check-up 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Patient experiencing severe respiratory distress with audible wheezing and use of accessory muscles - Potential for rapid deterioration and respiratory failure - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. Pneumonia (less likely given no fever or cough) 3. Pulmonary Embolism (less likely given no chest pain or history of DVT) 4. Allergic Reaction (less likely given history and symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and bronchodilator therapy - Continuous monitoring of respiratory status and vital signs - Preparation for potential intubation if condition worsens