Heiðarvegur 14, 900 Vestmannaeyjar. Single-story residential building built in 1985, concrete foundation with wooden frame. Main entrance has a single door with a standard lock. No security system. Street parking available. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 63.4402° N, 20.2708° W. Nearest landmark: Vestmannaeyjar Golf Club.
72-year-old male, experiencing severe shortness of breath. Primary symptoms: Rapid and labored breathing, wheezing, cyanosis around the lips. Secondary symptoms: Chest tightness, anxiety, unable to speak in full sentences. Patient is sitting upright, visibly distressed. 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), Amlodipine 5mg (daily). Known allergy: Sulfa drugs. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient began experiencing mild shortness of breath 1415 hours: Shortness of breath worsened, developed wheezing 1420 hours: Patient used salbutamol inhaler with minimal relief 1425 hours: Symptoms continued to worsen, cyanosis appeared, patient called for help 1430 hours: Current time, patient is in severe respiratory distress Prior Events: Patient reports a mild cold last week, no recent hospitalizations. Last COPD exacerbation was 6 months ago. Last medical check-up 2 months ago, routine follow-up. Patient lives alone.
Initial Impression: Acute Exacerbation of COPD with Respiratory Distress Justification for F2 Classification: - Rapid onset of severe respiratory distress with cyanosis - Patient's history of COPD increases risk of rapid deterioration - Time-sensitive condition requiring prompt medical intervention, including oxygen and bronchodilators Differential Diagnoses: 1. Acute COPD Exacerbation (high probability) 2. Pneumonia (consider if fever present, not reported) 3. Pulmonary Embolism (less likely given gradual onset) 4. Acute Heart Failure (less likely, no reported chest pain or edema) 5. Anaphylaxis (unlikely, no known recent exposure to allergens) Required Actions: - Dispatch of ground EMS with ALS capabilities - Oxygen administration as soon as possible - Bronchodilator administration (nebulized if available) - Preparation for transport to nearest hospital with respiratory care capabilities