Hafnarstræti 18, 600 Akureyri, third floor, apartment 3B. Five-story concrete building, constructed in 1995. Main entrance is accessible via key code. Elevator and central stairwell available. Street parking. Building equipped with fire and smoke detectors. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6822° N, 18.0911° W. Nearest landmark: Hof Cultural and Conference Center.
65-year-old male, experiencing acute shortness of breath. Primary symptoms: Severe dyspnea, audible wheezing, rapid shallow breathing, patient is struggling to speak in full sentences. Secondary symptoms: Pale skin, increased heart rate, mild chest tightness. Patient is alert but anxious. Medical history: Chronic obstructive pulmonary disease (COPD), hypertension. Medications: Salbutamol inhaler (2 puffs as needed), Fluticasone/Salmeterol inhaler (1 puff twice daily), Lisinopril 10mg daily. Known allergy: Penicillin. Last meal: Light lunch at 13:00.
Timeline: 1415 hours: Patient began experiencing mild shortness of breath. 1430 hours: Symptoms worsened rapidly, including wheezing and chest tightness. 1435 hours: Patient used his Salbutamol inhaler with no improvement. 1440 hours: Patient called his son for help, son called emergency services. 1445 hours: Current time, patient is in severe respiratory distress. Prior Events: Patient has a history of COPD exacerbations, last hospitalization for COPD was 6 months ago. No recent infections or fever. No recent changes to medication regimen. Patient is a smoker, approximately 1 pack per day.
Initial Impression: Acute COPD Exacerbation with Severe Respiratory Distress Justification for F2 Classification: - High probability of significant respiratory compromise based on presentation - Patient exhibiting severe dyspnea, wheezing, and rapid breathing - Potential for rapid deterioration without timely intervention Differential Diagnoses: 1. COPD Exacerbation (most likely) 2. Acute Bronchitis (less likely given chronic history) 3. Pneumonia (possible but less likely without fever) 4. Pulmonary Embolism (lower probability without specific risk factors) 5. Acute Heart Failure (less likely given no history of heart failure) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and ventilation support - Bronchodilator therapy - Preparation for transport to nearest hospital with respiratory services