Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building built in 1950. Main entrance is accessible from the street. No elevator. Street parking available. Building has a basic fire alarm system. Current conditions: 7°C, overcast, light wind, good visibility. GPS coordinates: 65.6827° N, 18.0901° W. Nearest landmark: Akureyri Art Museum.
72-year-old male, experiencing severe shortness of breath. Primary symptoms: Labored breathing, wheezing, chest tightness, and productive cough with yellow sputum. Patient is conscious but appears anxious. Secondary symptoms: Mild cyanosis around the lips, rapid heart rate. Patient is sitting upright in a chair, struggling to breathe. Medical history: COPD diagnosed 5 years ago, hypertension, type 2 diabetes. Medications: Salbutamol inhaler (2 puffs PRN), Fluticasone/Salmeterol inhaler (1 puff BID), Metformin 500mg BID, Lisinopril 10mg daily. Allergies: None known. Last meal was lunch at 13:00.
Timeline: 1400 hours: Patient began experiencing mild shortness of breath 1430 hours: Shortness of breath worsened, patient used salbutamol inhaler with minimal relief 1445 hours: Symptoms intensified, patient became increasingly distressed, developed productive cough 1450 hours: Patient called his son for help, son called emergency services 1455 hours: Current time, patient is sitting upright, struggling to breathe Prior Events: Patient reports a recent upper respiratory infection 1 week ago. Patient has been compliant with medications. Last medical check-up 6 months ago, routine follow-up. Patient lives alone but son lives nearby.
Initial Impression: Acute Exacerbation of COPD Justification for F2 Classification: - Significant respiratory distress with wheezing and cyanosis - Patient has known COPD and recent URI - Condition requires prompt medical intervention and potential airway support Differential Diagnoses: 1. Acute Exacerbation of COPD (most likely) 2. Pneumonia (consider given productive cough) 3. Pulmonary Embolism (less likely given gradual onset) 4. Acute Heart Failure (less likely, no reported history of CHF) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Bronchodilator administration - Continuous monitoring of vital signs - Preparation for transport to nearest hospital with respiratory services