Garðarsbraut 17, 640 Húsavík. Single-story residential house, built in 1985, concrete foundation with wooden frame. Main entrance faces the street, with a small porch. No known security features. Street parking available. Current conditions: 10°C, overcast, moderate visibility. GPS coordinates: 66.0456° N, 17.3378° W. Nearest landmark: Húsavík Swimming Pool.
35-year-old male experiencing severe allergic reaction. Primary symptoms: Rapid onset of urticaria (hives), angioedema (swelling of face and lips), dyspnea (difficulty breathing), and throat tightness. Secondary symptoms: Mild dizziness and anxiety. Patient conscious but agitated. Patient states he was stung by a bee approximately 15 minutes ago. Medical history: Known allergy to bee stings, carries an epinephrine auto-injector (EpiPen), has not used it yet. No other significant medical history. Medications: None currently taken daily. Last meal was a sandwich at 12:00.
Timeline: 1315 hours: Patient stung by a bee while gardening in the backyard. 1316 hours: Patient began experiencing itching, hives, and facial swelling. 1317 hours: Patient started having difficulty breathing and throat tightness. 1318 hours: Patient called emergency services. 1320 hours: Current time, patient is increasingly anxious and symptoms are worsening. Prior Events: Patient has a history of bee sting allergy with prior reactions requiring medical attention. Patient usually carries an EpiPen, which is available but has not been administered yet due to anxiety and indecision. No recent illnesses or injuries. Last medical check-up 6 months ago, routine.
Initial Impression: Severe Anaphylactic Reaction to Bee Sting Justification for F2 Classification: - Rapid onset of severe allergic symptoms including airway compromise and potential for cardiovascular instability. - Known history of bee sting allergy, increasing risk of severe reaction. - Time-sensitive condition requiring immediate intervention to prevent life-threatening complications. Differential Diagnoses: 1. Anaphylaxis (high probability) 2. Angioedema (likely component of anaphylaxis) 3. Severe Allergic Reaction (less severe form of anaphylaxis) 4. Panic Attack (less likely given the physical symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities. - Immediate instruction to administer EpiPen if not already done. - Airway management preparation. - Rapid transport to nearest hospital with emergency services.