Hafnarstræti 2, 400 Ísafjörður, second floor apartment 2B. Three-story wooden residential building constructed in 1955. Main entrance with a shared staircase. No elevator. Street parking available. Building equipped with smoke detectors. Current conditions: 8°C, overcast, moderate visibility. GPS coordinates: 66.0729° N, 23.1223° W. Nearest landmark: Ísafjörður Hospital.
75-year-old male, sudden onset of stroke-like symptoms. Primary symptoms: Left-sided facial droop, left arm weakness, slurred speech. Patient is confused and agitated. Secondary symptoms: Headache, dizziness. Patient is sitting in a chair in his living room. Medical history: Hypertension, type 2 diabetes. Medications: Metformin 1000mg twice daily, Amlodipine 10mg daily, Aspirin 75mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 1410 hours: Patient was watching TV, complained of a sudden headache 1412 hours: Patient developed left-sided weakness and slurred speech 1414 hours: Patient became confused and agitated 1415 hours: Wife called emergency services 1417 hours: Current time, patient remains symptomatic Prior Events: Patient had a transient ischemic attack (TIA) 6 months ago, fully recovered. History of poorly controlled hypertension and diabetes. No recent changes in medication. No recent illnesses or injuries. Last medical check-up 2 months ago, routine follow-up.
Initial Impression: Suspected Acute Stroke Justification for F1 Classification: - Sudden onset of focal neurological deficits (facial droop, arm weakness, slurred speech) - High probability of acute stroke based on symptoms and history of TIA - Time-critical condition requiring immediate intervention (thrombolysis window) - Patient's altered mental status and agitation indicate a severe neurological event Differential Diagnoses: 1. Ischemic Stroke (high probability) 2. Hemorrhagic Stroke (less likely, but cannot be excluded) 3. Transient Ischemic Attack (TIA) (possible, but less likely given severity and duration) 4. Hypoglycemia (less likely given history of diabetes, but must be checked) 5. Seizure (less likely, no reported convulsions) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate transport to nearest stroke center - Pre-hospital stroke assessment (FAST score) - Notification of receiving hospital stroke team