Hafnarstræti 23, 600 Akureyri. Third floor, apartment 3B. Four-story concrete building built in 1965. Main entrance is accessible via a coded door, code is 1965. Elevator and stairwell available. Street parking available. Building has a fire alarm system. Current conditions: 7°C, clear skies, good visibility. GPS coordinates: 65.6832° N, 18.0900° W. Nearest landmark: Akureyri Art Museum.
62-year-old male, experiencing severe shortness of breath and chest tightness. Patient is conscious but appears distressed. Primary symptoms: Rapid, shallow breathing, audible wheezing, using accessory muscles to breathe. Secondary symptoms: Pale skin, diaphoresis, reported anxiety. Medical history: Asthma diagnosed in childhood, COPD diagnosed 5 years ago, hypertension. Medications: Salbutamol inhaler (as needed), Fluticasone inhaler (twice daily), Lisinopril 10mg daily. Allergies: Reported allergy to pollen. Last meal was a sandwich at 12:00. Patient was sitting on his sofa when symptoms started.
Timeline: 1310 hours: Patient began experiencing mild shortness of breath 1315 hours: Shortness of breath worsened, accompanied by chest tightness 1318 hours: Patient used his salbutamol inhaler with minimal relief 1320 hours: Symptoms continued to worsen, patient called emergency services 1322 hours: Current time, patient is experiencing severe respiratory distress Prior Events: Patient reports a history of asthma exacerbations, last hospitalization for respiratory issues was 2 years ago. Patient has been compliant with his medications. No recent travel or exposure to new allergens. Patient reports a recent mild upper respiratory infection 3 days ago.
Initial Impression: Acute Asthma Exacerbation/COPD Exacerbation Justification for F2 Classification: - Significant respiratory distress with wheezing and accessory muscle use - History of asthma and COPD - Time-sensitive condition requiring rapid intervention to prevent respiratory failure Differential Diagnoses: 1. Acute Asthma Exacerbation (high probability) 2. COPD Exacerbation (high probability) 3. Pulmonary Embolism (less likely, no sudden onset chest pain) 4. Pneumothorax (less likely, no history of trauma) 5. Acute Coronary Syndrome (less likely, no reported chest pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - Nebulized bronchodilator administration - Preparation for transport to nearest hospital with respiratory services