Hafnarbraut 22, 780 Höfn, ground floor apartment. Two-story wooden residential building constructed in 1965. Main entrance with a single door, no security features. Street parking available. Building has basic fire alarm system. Current conditions: 8°C, overcast, moderate wind. GPS coordinates: 64.2523° N, 15.2084° W. Nearest landmark: Höfn Harbour.
68-year-old male, experiencing severe shortness of breath. Primary symptoms: Rapid and labored breathing, wheezing, productive cough with yellow sputum. Secondary symptoms: Chest tightness, anxiety, pale skin. Patient is alert but distressed. Medical history: COPD diagnosed 5 years ago, hypertension, type 2 diabetes. Medications: Salbutamol inhaler (as needed), Fluticasone/Salmeterol inhaler (twice daily), Metformin 1000mg daily, Lisinopril 10mg daily. Allergies: Penicillin. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient started experiencing increased shortness of breath. 1415 hours: Symptoms worsened, with onset of wheezing and productive cough. 1420 hours: Patient attempted to use salbutamol inhaler with no relief. 1425 hours: Patient called emergency services, unable to speak in full sentences. 1430 hours: Current time, patient is sitting upright, struggling to breathe. Prior Events: Patient reports a recent upper respiratory infection 3 days ago, treated with over-the-counter medication. No recent hospitalizations. Last medical check-up 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Acute Exacerbation of COPD with possible Respiratory Infection Justification for F2 Classification: - Significant respiratory distress with labored breathing and wheezing - History of COPD with acute worsening of symptoms - Potential for rapid deterioration requiring timely intervention Differential Diagnoses: 1. Acute Exacerbation of COPD (high probability) 2. Pneumonia (possible, given productive cough) 3. Pulmonary Embolism (less likely, no sudden onset chest pain) 4. Acute Heart Failure (less likely, no history of cardiac issues) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration upon arrival - Continuous monitoring of vital signs - Potential need for bronchodilators and corticosteroids - Preparation for transport to nearest hospital with respiratory services