Hafnarstræti 18, 600 Akureyri, ground floor of a two-story wooden building built in 1955. Main entrance has a single door with a standard lock. No elevator. Street parking available. Building is equipped with a basic smoke detector system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6827° N, 18.0895° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing severe shortness of breath and chest tightness. Primary symptoms: Rapid, labored breathing, wheezing, cyanosis around lips. Patient is conscious but anxious, struggling to speak. Secondary symptoms: Increased heart rate, sweating. Patient is sitting upright in a chair. Medical history: Chronic obstructive pulmonary disease (COPD) diagnosed 5 years ago, hypertension, recent upper respiratory infection (URI) 3 days ago. Medications: Salbutamol inhaler (as needed), Fluticasone inhaler (2 puffs twice daily), Lisinopril 10mg daily. Allergies: Penicillin. Last meal was a light lunch at 12:00.
Timeline: 1300 hours: Patient felt mild shortness of breath, attributed to recent URI 1315 hours: Shortness of breath worsened, patient used Salbutamol inhaler (2 puffs) with minimal relief 1330 hours: Patient's breathing became more labored, developed chest tightness and wheezing 1340 hours: Patient's son (caller) arrived, noticed patient's cyanosis and called emergency services 1345 hours: Current time, patient is still struggling to breathe, sitting upright, son is with him. Prior Events: Patient has had several exacerbations of COPD in the past year, with 2 hospital admissions. Last medical check-up 2 months ago, routine follow-up. Patient is a smoker (1 pack per day).
Initial Impression: Acute Exacerbation of COPD Justification for F2 Classification: - Significant respiratory distress, cyanosis, and labored breathing indicate potential for rapid deterioration - Patient's history of COPD and recent URI increases risk of severe exacerbation - Time-sensitive condition requiring prompt medical intervention and oxygen therapy Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (possible given recent URI) 3. Pulmonary Embolism (less likely, no reported chest pain or hemoptysis) 4. Acute Heart Failure (less likely, no history of cardiac issues) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy administration - Bronchodilator therapy if available - Preparation for transport to nearest hospital with respiratory services