Hafnargata 15, 735 Norðfjörður, ground floor apartment. Two-story wooden building constructed in 1955. Main entrance at street level, no steps. No elevator. Street parking available. Building has basic smoke detectors. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.1833° N, 14.0167° W. Nearest landmark: Norðfjörður harbor.
68-year-old male, experiencing severe shortness of breath. Primary symptoms: Labored breathing, rapid and shallow respirations, audible wheezing, patient is pale and anxious. Secondary symptoms: Mild chest tightness, productive cough with clear sputum. Patient is alert but appears distressed. Medical history: Chronic obstructive pulmonary disease (COPD) diagnosed 5 years ago, hypertension, history of smoking. Medications: Salbutamol inhaler (as needed), Beclomethasone inhaler (2 puffs twice daily), Lisinopril 10mg daily. Allergies: None known. Last meal was a light lunch at 12:00.
Timeline: 1400 hours: Patient started feeling slightly short of breath 1415 hours: Shortness of breath worsened, began wheezing 1420 hours: Patient used his salbutamol inhaler, with minimal relief 1425 hours: Patient called his son for help 1430 hours: Son arrived and called emergency services 1432 hours: Current time, patient still experiencing severe shortness of breath Prior Events: Patient reports several exacerbations of COPD in the past year, requiring hospital visits. Last medical check-up 2 months ago, routine follow-up. Patient lives alone, son lives nearby.
Initial Impression: Acute Exacerbation of COPD Justification for F2 Classification: - Significant respiratory distress with wheezing and labored breathing - Patient has known COPD, indicating a high likelihood of exacerbation - Time-sensitive condition requiring prompt medical intervention and oxygen therapy Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (less likely given no fever) 3. Pulmonary Embolism (less likely given no sudden onset or pleuritic pain) 4. Acute Heart Failure (less likely given known COPD and no significant edema) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen therapy initiation - Bronchodilator administration - Preparation for transport to nearest hospital with respiratory services