Hafnarstræti 18, 600 Akureyri, first floor, retail space. Two-story commercial building constructed in 1965. Main entrance at street level. No elevator. Street parking available. Building has a basic fire alarm system. Current conditions: 7°C, clear skies, good visibility. GPS coordinates: 65.6812° N, 18.0899° W. Nearest landmark: Akureyri Art Museum.
31-year-old male, severe asthma attack. Primary symptoms: Severe shortness of breath, wheezing, unable to speak in full sentences, use of accessory muscles for breathing, cyanosis around lips. Secondary symptoms: Agitation, increased heart rate, diaphoresis. Patient is conscious but appears distressed. Patient is sitting upright in a chair, clutching his chest. Medical history: Asthma diagnosed at age 8, seasonal allergies. Medications: Salbutamol inhaler (Ventolin) - patient states he has used it multiple times in the last hour with no relief, Fluticasone inhaler (Flovent) - daily use. Known allergies: Pollen, dust. Last meal was a sandwich at 11:00.
Timeline: 12:00 hours: Patient began experiencing mild shortness of breath 12:15 hours: Symptoms worsened, patient used his Salbutamol inhaler twice with no improvement 12:30 hours: Patient reports severe difficulty breathing, increasing wheezing, and cyanosis 12:35 hours: Patient called emergency services 12:38 hours: Current time, patient in severe respiratory distress, using accessory muscles to breathe Prior Events: Patient reports several mild asthma attacks per year, usually controlled with inhalers. No recent hospitalizations for asthma. Last doctor visit 6 months ago, routine check-up. Patient was exposed to a dusty environment earlier today which may have triggered the attack.
Initial Impression: Severe Asthma Exacerbation Justification for F2 Classification: - High risk of respiratory failure due to severe symptoms - Patient is unable to speak in full sentences, using accessory muscles, and has cyanosis - Time-sensitive condition requiring prompt medical intervention to prevent further deterioration Differential Diagnoses: 1. Severe Asthma Exacerbation (high probability) 2. Anaphylactic Reaction (less likely given no known new allergens) 3. Pneumothorax (less likely given no history of chest trauma) 4. Pulmonary Embolism (less likely given patient's history) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration and nebulized bronchodilators - Assessment of respiratory status and vital signs - Preparation for possible intubation and mechanical ventilation