Hafnarstræti 23, 600 Akureyri, ground floor of a two-story wooden building built in 1955. Main entrance is at street level with a small step. No elevator. Parking available on the street. Building is a commercial space with a small cafe. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6811° N, 18.0918° W. Nearest landmark: Akureyri Art Museum.
45-year-old male, experiencing severe shortness of breath. Primary symptoms: Rapid, labored breathing, chest tightness, audible wheezing, pale skin. Secondary symptoms: Anxiety, mild dizziness, productive cough with small amount of clear sputum. Patient is conscious but struggling to breathe. Patient sitting upright in a chair. Medical history: Asthma diagnosed in childhood, seasonal allergies. Medications: Salbutamol inhaler (as needed), Fluticasone inhaler (daily). No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1300 hours: Patient started feeling mild shortness of breath while working 1315 hours: Symptoms worsened rapidly, developed chest tightness and wheezing 1320 hours: Patient used his salbutamol inhaler, no significant improvement 1325 hours: Patient called emergency services. Patient has a history of asthma, and reports an increase in pollen count today. Prior Events: Patient has had multiple asthma exacerbations in the past, usually responsive to inhaler. Last asthma-related hospital visit was 2 years ago. Reports feeling generally well otherwise. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Moderate respiratory distress with significant symptoms - Patient not responding to initial bronchodilator treatment - Risk of rapid deterioration without prompt intervention - Time-sensitive condition requiring immediate medical evaluation and treatment Differential Diagnoses: 1. Asthma Exacerbation (high probability) 2. Allergic Reaction (less likely, no known allergies, no rash) 3. Pneumonia (less likely, no fever or severe cough) 4. Pulmonary Embolism (less likely, no sudden onset chest pain) 5. Acute Bronchitis (less likely given history of asthma) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Nebulized bronchodilator administration - Preparation for transport to nearest hospital with respiratory services