Hafnargata 15, 465 Bíldudalur. Single-story wooden house built in 1955. Main entrance facing the street, no security features. Street parking available. Current conditions: 8°C, overcast, light wind. GPS coordinates: 65.6814° N, 23.5320° W. Nearest landmark: Bíldudalur Harbor.
72-year-old male, sudden onset of right-sided weakness and slurred speech. Patient found by his son. Primary symptoms: Right facial droop, right arm and leg weakness, difficulty speaking. Secondary symptoms: Confusion, headache. Patient is conscious but confused. No history of trauma. Patient sitting in a chair. Medical history: Hypertension, type 2 diabetes, history of transient ischemic attack (TIA) 2 years ago. Medications: Metformin 500mg twice daily, Amlodipine 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 14:30 hours: Patient was observed to be normal by his son 15:00 hours: Son found the patient slumped in a chair, with right-sided weakness and slurred speech 15:02 hours: Son called emergency services 15:05 hours: Current time, patient still slumped in chair, right-sided weakness, slurred speech, and confusion Prior Events: Patient had a TIA two years ago, fully recovered. No recent illnesses or injuries. Regular check-ups for hypertension and diabetes. Patient lives alone, son visits daily.
Initial Impression: Suspected Acute Stroke (Cerebrovascular Accident) Justification for F1 Classification: - Sudden onset of focal neurological deficits (right-sided weakness, facial droop, slurred speech) strongly suggestive of stroke - Time-sensitive condition requiring immediate intervention to minimize brain damage - Patient's history of TIA increases risk for stroke - Symptoms indicate possible large vessel occlusion Differential Diagnoses: 1. Ischemic Stroke (high probability) 2. Hemorrhagic Stroke (possible, less likely given absence of severe headache) 3. Hypoglycemia (less likely given patient's diabetic status) 4. Postictal state (unlikely given no history of seizures) 5. Bell's Palsy (less likely given limb weakness) Required Actions: - Dispatch of ground EMS with ALS capabilities - Pre-notification of receiving stroke center - Rapid transport to hospital with stroke protocol - Initiate stroke assessment en route