Heiðarvegur 2, 900 Vestmannaeyjar, single-story detached house. Constructed in 1985, concrete foundation with wood frame. Main entrance via front door, no stairs. Backyard access through a side gate. No security features. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 63.4417° N, 20.2683° W. Nearest landmark: Vestmannaeyjar Hospital.
3-year-old male, experiencing difficulty breathing. Primary symptoms: Rapid breathing, wheezing, mild chest retractions. Patient is alert but appears distressed. Secondary symptoms: Mild cough, slightly pale skin. No fever reported. Patient is sitting up, leaning forward to breathe. Medical history: History of bronchiolitis, no known allergies, no regular medications. Last meal was a small snack at 17:00. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up.
Timeline: 1900 hours: Child began to exhibit mild cough and runny nose. 1930 hours: Symptoms worsened, child started to wheeze and have difficulty breathing. 1945 hours: Child is showing increased respiratory distress, parents called emergency services. 1948 hours: Current time, child sitting up, leaning forward to breathe, rapid breathing and wheezing. Prior Events: Child had a similar episode of bronchiolitis 1 year ago, requiring a short hospital stay. No known exposure to allergens or irritants. Child attends daycare 3 days a week. No recent travel.
Initial Impression: Suspected Bronchiolitis Exacerbation Justification for F3 Classification: - Respiratory distress present but not immediately life-threatening - Wheezing, rapid breathing, and mild retractions indicate airway compromise - Patient is alert and responsive, suggesting no acute respiratory failure - Condition requires medical evaluation but does not necessitate immediate response Differential Diagnoses: 1. Bronchiolitis Exacerbation (high probability) 2. Asthma Exacerbation (less likely given age and history) 3. Viral Respiratory Infection (possible, but bronchiolitis symptoms are more specific) 4. Foreign Body Aspiration (less likely given gradual onset of symptoms) Required Actions: - Dispatch of ground EMS with BLS capabilities - Assessment of respiratory status and oxygen saturation - Monitoring of vital signs and level of consciousness - Preparation for transport to nearest hospital with pediatric services