Hafnarstræti 23, 600 Akureyri. Ground floor of a two-story wooden building built in 1955. Main entrance is at street level with a small step. No elevator. Street parking available. Building has basic fire alarm. Current conditions: 7°C, cloudy, good visibility. GPS coordinates: 65.6822° N, 18.0920° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing acute shortness of breath. Primary symptoms: Severe dyspnea, rapid and shallow breathing, productive cough with yellowish sputum. Secondary symptoms: Chest tightness, mild cyanosis around lips, patient appears anxious and agitated. Patient sitting upright on a chair. 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: Penicillin. Last meal was a light lunch at 13:00. Patient reports recent cold symptoms for 3 days.
Timeline: 1400 hours: Patient started feeling more short of breath than usual. 1415 hours: Patient used his salbutamol inhaler with minimal relief. 1430 hours: Symptoms worsened, productive cough with yellowish sputum developed. 1445 hours: Patient called his son for help. 1450 hours: Son arrived and called emergency services. 1452 hours: Current time, patient is still sitting up, struggling to breathe. Prior Events: Patient reports a history of frequent COPD exacerbations, last hospitalization for COPD was 6 months ago. Recent cold symptoms started 3 days ago with mild cough and runny nose. No fever reported. Patient lives alone, but son lives nearby.
Initial Impression: Acute Exacerbation of COPD with possible Respiratory Infection Justification for F2 Classification: - Significant respiratory distress, potential for rapid deterioration. - Symptoms of acute exacerbation of COPD with possible infection - Requires prompt medical intervention including oxygen therapy and medication. Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (possible, given productive cough) 3. Pulmonary Embolism (less likely, no history of DVT) 4. Acute Heart Failure (less likely, no history of heart failure) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Monitoring of respiratory status and vital signs - Preparation for transport to nearest hospital with respiratory support