Hafnarbraut 12, 780 Höfn, first floor apartment 1B. Three-story concrete apartment building constructed in 1995. Main entrance has a coded lock (code: 1234). One central stairwell, no elevator. Street parking available. Building equipped with basic fire detection system. Current conditions: 8°C, overcast, moderate wind, good visibility. GPS coordinates: 64.2503° N, 15.2072° W. Nearest landmark: Höfn Harbour.
42-year-old male, experiencing severe allergic reaction after eating shellfish. Primary symptoms: Rapid onset of facial swelling, throat tightness, difficulty breathing, and widespread urticaria. Secondary symptoms: Dizziness, nausea, and anxiety. Patient is conscious but distressed. Patient reports known shellfish allergy but accidentally ingested some. Patient is sitting on a chair in the living room. Medical history: Known shellfish allergy, mild asthma. Medications: Salbutamol inhaler (as needed), Cetirizine 10mg (daily). Last meal was lunch at 13:00, including the shellfish.
Timeline: 1300 hours: Patient ate lunch, including shellfish. 1315 hours: Patient began experiencing itching and mild facial swelling. 1320 hours: Symptoms rapidly progressed to throat tightness and difficulty breathing. 1322 hours: Patient self-administered Salbutamol inhaler with minimal relief. 1325 hours: Patient called emergency services. 1327 hours: Current time, patient is conscious but experiencing severe symptoms. Prior Events: Patient has had several mild allergic reactions to shellfish in the past, typically managed with antihistamines. Patient has no recent infections or injuries. Last medical check-up 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Severe Anaphylactic Reaction Justification for F2 Classification: - Rapid onset of severe allergic symptoms, including airway compromise - High risk of respiratory arrest and cardiovascular collapse - Time-sensitive condition requiring immediate medical intervention Differential Diagnoses: 1. Anaphylaxis (high probability) 2. Angioedema (less likely without associated urticaria) 3. Acute Asthma Exacerbation (less likely given rapid onset after allergen exposure) 4. Panic Attack (less likely given physical symptoms of allergic reaction) Required Actions: - Dispatch of ground EMS with ALS capabilities - Administration of epinephrine if available - Airway management as needed - Preparation for transport to nearest hospital with emergency services