Aðalstræti 14, 400 Ísafjörður, ground floor apartment. Two-story wooden building built in 1955. Main entrance is street-level with a small step. No elevator, central stairwell to the second floor. Street parking available. Building has a basic fire alarm system. Current conditions: 8°C, overcast, moderate wind, good visibility. GPS coordinates: 66.0726° N, 23.1281° W. Nearest landmark: Ísafjörður Church.
72-year-old male, sudden onset of right-sided weakness and slurred speech. Primary symptoms: Facial droop on the right side, right arm and leg weakness, difficulty speaking. Secondary symptoms: Confusion, mild headache. Patient is conscious but appears confused. Medical history: Hypertension, type 2 diabetes, history of transient ischemic attack (TIA) 2 years ago. Medications: Metformin 500mg twice daily, Lisinopril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 14:45 hours: Patient was watching television, suddenly became weak on his right side. 14:46 hours: Patient tried to stand, but fell due to weakness. 14:47 hours: Patient's wife noticed his slurred speech and facial droop. 14:48 hours: Wife called emergency services. 14:50 hours: Current time, patient is conscious but confused, lying on the floor next to the sofa. Prior Events: Patient had a TIA 2 years ago, fully recovered. No recent hospitalizations or significant medical changes. Last medical check-up 6 months ago, routine follow-up. Patient lives with his wife, who is his primary caregiver.
Initial Impression: Suspected Acute Ischemic Stroke Justification for F1 Classification: - Sudden onset of focal neurological deficits (right-sided weakness, slurred speech, facial droop) - High risk of permanent disability if not treated promptly - Time-critical condition requiring immediate medical intervention, including potential thrombolysis Differential Diagnoses: 1. Ischemic Stroke (most likely) 2. Hemorrhagic Stroke (possible but less likely given no headache) 3. Transient Ischemic Attack (TIA) (possible, but symptoms are more severe) 4. Hypoglycemia (less likely given diabetes history and no reports of low blood sugar) Required Actions: - Dispatch of ground EMS with ALS capabilities - Pre-hospital stroke assessment using FAST scale - Immediate hospital notification and activation of stroke team - Preparation for rapid transport to hospital with CT imaging and stroke treatment capabilities