Hafnarstræti 99, 600 Akureyri, first floor, apartment 103. A five-story concrete building built in 1995. Main entrance accessible via ramp and automatic door. Elevator and central staircase available. Street parking and limited parking lot in the back. Building has a fire suppression system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6822° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing acute shortness of breath. Primary symptoms: severe dyspnea, wheezing, and productive cough with yellow sputum. Patient reports feeling 'suffocated'. Secondary symptoms: chest tightness, mild cyanosis around the lips. Patient is alert but anxious. Patient is sitting upright on a chair in his living room. Medical history: COPD diagnosed 5 years ago, history of smoking (40 pack-years), mild hypertension. Medications: Salbutamol inhaler (2 puffs as needed), Fluticasone/Salmeterol inhaler (1 puff twice daily), Amlodipine 5mg daily. Allergies: No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient began experiencing increased shortness of breath and cough. 1415 hours: Symptoms worsened, patient used salbutamol inhaler with minimal relief. 1420 hours: Patient called his son, Jón, for help. 1425 hours: Jón arrived and found his father in distress and called emergency services. 1428 hours: Current time, patient is still experiencing severe dyspnea and cough. Prior Events: Patient had a mild respiratory infection 2 weeks ago, treated with oral antibiotics. No recent hospitalizations. Regular follow-ups with pulmonologist every 6 months. Patient lives alone but has daily contact with his son.
Initial Impression: Acute Exacerbation of COPD Justification for F2 Classification: - Significant respiratory distress with wheezing and cyanosis - Patient's history of COPD puts him at risk of rapid decompensation - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (less likely given no fever) 3. Pulmonary Embolism (less likely given no chest pain or hemoptysis) 4. Acute Heart Failure (less likely given no leg edema or orthopnea) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Bronchodilator administration - Preparation for transport to nearest hospital with respiratory services