Miðvangur 15, 700 Egilsstaðir, Single-story residential house built in 1985. Main entrance is at ground level with a ramp for wheelchair access. One main entrance door with a standard lock. Street parking available. Weather conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 65.2688° N, 14.3947° W. Nearest landmark: Egilsstaðir swimming pool.
62-year-old male, experiencing severe shortness of breath. Primary symptoms: Rapid, labored breathing, wheezing, unable to speak in full sentences. Secondary symptoms: Chest tightness, mild cyanosis around lips, increased anxiety. Patient is sitting upright in a chair. History of COPD. No known allergies. Medications: Salbutamol inhaler (as needed), Tiotropium inhaler (daily), Prednisone 5mg daily. Last meal was a light soup at 18:00.
Timeline: 19:30 hours: Patient began experiencing increased shortness of breath 19:45 hours: Symptoms rapidly worsened, wheezing began 19:50 hours: Patient attempted to use Salbutamol inhaler with minimal relief 19:55 hours: Patient called for help 20:00 hours: Current time, patient still struggling to breathe Prior Events: Patient has a long history of COPD, with frequent exacerbations. Last COPD flare-up was 2 months ago, treated with oral steroids. No recent changes in medication. Patient reports feeling slightly unwell for the past 2 days with a mild cough. No known triggers for current episode. Last medical check-up 4 months ago, routine follow-up for COPD.
Initial Impression: Acute Exacerbation of COPD Justification for F2 Classification: - Significant respiratory distress with wheezing and cyanosis - History of COPD with known exacerbations - Potential for rapid deterioration requiring urgent intervention - Time-sensitive condition with potential respiratory failure Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (possible, requires further assessment) 3. Pulmonary Embolism (less likely, no reported chest pain) 4. Acute Heart Failure (less likely, no history of heart disease) 5. Anaphylaxis (unlikely, no known allergies or exposure) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration - Monitoring of respiratory status and vital signs - Preparation for transport to nearest hospital with respiratory support