Miðvangur 2, 700 Egilsstaðir, first floor apartment 103. Three-story concrete residential building constructed in 2005. Main entrance is accessible via a ramp. One elevator and central stairwell. Parking available in front of building. Building equipped with fire alarm system and sprinkler system. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 65.2657° N, 14.3947° W. Nearest landmark: Egilsstaðir Swimming Pool.
62-year-old female, experiencing severe shortness of breath. Primary symptoms: Difficulty breathing, rapid and shallow respirations, audible wheezing, productive cough with yellow sputum. Secondary symptoms: Mild chest tightness, feeling anxious. Patient is conscious but distressed. Skin is pale and clammy. Patient is sitting upright in bed. Medical history: COPD diagnosed 5 years ago, hypertension, type 2 diabetes. Medications: Salbutamol inhaler (as needed), Fluticasone/Salmeterol inhaler (twice daily), Metformin 500mg twice daily, Lisinopril 10mg daily. Known allergy: Sulfa drugs. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient started experiencing increased shortness of breath 1415 hours: Symptoms worsened, started coughing with yellow sputum 1420 hours: Patient used her salbutamol inhaler with minimal relief 1425 hours: Patient contacted her daughter for help 1430 hours: Daughter arrived and called emergency services 1432 hours: Current time, patient is still experiencing severe respiratory distress Prior Events: Patient reports a recent upper respiratory infection 3 days ago. No recent hospitalizations. Last medical check-up was 2 months ago, routine follow-up for COPD. Patient lives alone, but daughter lives nearby.
Initial Impression: Acute Exacerbation of COPD Justification for F2 Classification: - Moderate respiratory distress with wheezing and productive cough, suggesting a significant airway issue - Patient is conscious but distressed, indicating potential for rapid deterioration - Time-sensitive condition requiring prompt medical intervention to prevent respiratory failure Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (possible, given productive cough and recent infection) 3. Pulmonary Embolism (less likely, no sudden onset of symptoms) 4. Acute Heart Failure (less likely, no history of heart failure) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Bronchodilator administration - Monitoring of vital signs and respiratory status - Preparation for transport to nearest hospital with respiratory support capabilities