Hafnarstræti 22, 600 Akureyri. Ground floor of a two-story commercial building built in 1965. Main entrance at street level, no steps. No elevator. Building has glass storefront and metal door. Street parking available. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6812° N, 18.0900° W. Nearest landmark: Akureyri Art Museum.
48-year-old male, experiencing severe shortness of breath. Primary symptoms: Difficulty breathing, wheezing, chest tightness, rapid breathing. Secondary symptoms: Mild cyanosis around lips, agitation. Patient is conscious but struggling to speak in full sentences. Patient is sitting upright, leaning forward. Medical history: Asthma diagnosed in childhood, previously well-controlled with inhalers. Allergies: Dust mites, pollen. Medications: Salbutamol inhaler (as needed), Fluticasone inhaler (twice daily). Last meal was a light lunch at 13:00. No recent illness reported.
Timeline: 1430 hours: Patient started experiencing mild shortness of breath. 1445 hours: Symptoms worsened, patient used Salbutamol inhaler, with minimal relief. 1500 hours: Patient reports severe difficulty breathing, chest tightness. Called emergency services. 1503 hours: Current time, patient still experiencing severe symptoms. Prior Events: Patient reports recent exposure to dust during home renovation. Reports using Salbutamol inhaler more frequently in the past 24 hours. Last asthma check-up 6 months ago, no changes to medication regimen.
Initial Impression: Acute Asthma Exacerbation Justification for F2 Classification: - Severe respiratory distress with potential for rapid deterioration - Patient exhibits signs of respiratory compromise (wheezing, rapid breathing, cyanosis) - Time-sensitive condition requiring immediate medical intervention Differential Diagnoses: 1. Acute Asthma Exacerbation (most likely) 2. Anaphylaxis (less likely, no reported exposure to known allergen) 3. Acute Bronchitis (less likely, symptoms onset more acute) 4. Pulmonary Embolism (less likely, no risk factors reported) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Bronchodilator administration - Preparation for transport to nearest hospital