Hafnarbraut 10, 780 Höfn, ground floor apartment 1B. Two-story wooden residential building constructed in 1965. Main entrance has a standard door with no security features. No elevator, access through the main entrance. Street parking available. Building has basic smoke detectors. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 64.2525° N, 15.2075° W. Nearest landmark: Höfn Harbor.
3-year-old male, experiencing difficulty breathing. Primary symptoms: Rapid breathing, wheezing, nasal flaring, mild retractions. Secondary symptoms: Agitation, pale skin. Patient is conscious but distressed. History of mild asthma. No known allergies. Medications: Albuterol inhaler (as needed). Last oral intake was a small snack at 14:00.
Timeline: 1500 hours: Child started coughing 1515 hours: Cough worsened, started wheezing 1520 hours: Noticed rapid breathing and nasal flaring 1525 hours: Child became agitated, mother called emergency services 1530 hours: Current time, child still having difficulty breathing Prior Events: Child has had 2 previous episodes of mild asthma exacerbation in the last 6 months, managed at home with albuterol inhaler. Last check-up was 1 month ago, no significant findings. No recent illnesses reported in family. Child attends a local daycare.
Initial Impression: Mild Asthma Exacerbation Justification for F3 Classification: - Respiratory distress present, but not life-threatening at this time - Patient is conscious and responsive - Mild to moderate symptoms of respiratory distress, but no cyanosis or severe retractions noted - Time-sensitive condition requiring assessment and potential intervention Differential Diagnoses: 1. Asthma Exacerbation (most likely) 2. Bronchiolitis (less likely given age and history) 3. Foreign Body Aspiration (less likely given no choking episode reported) 4. Upper Respiratory Infection (possible contributor, but not primary cause of distress) Required Actions: - Dispatch of ground EMS with BLS/ALS capabilities - Assessment of respiratory status - Administration of albuterol if indicated - Preparation for transport to nearest hospital if symptoms worsen or do not improve