Hafnarstræti 91, 600 Akureyri, third floor apartment 3B. A five-story reinforced concrete building constructed in 1985. Main entrance is accessible via a ramp and stairs. Building has one elevator and a central stairwell. Street parking is available. Equipped with a basic fire alarm system. Current conditions: 7°C, overcast, moderate wind. GPS coordinates: 65.6832° N, 18.0921° W. Nearest landmark: Hof Cultural and Conference Center.
72-year-old male, sudden onset of stroke symptoms. Primary symptoms: Right-sided facial droop, slurred speech, right arm weakness. Secondary symptoms: Confusion, difficulty understanding simple questions. Patient is conscious but disoriented. Patient found slumped on the couch in his living room. Medical history: Hypertension, type 2 diabetes, previous transient ischemic attack (TIA) 2 years ago. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 14:10 hours: Patient was watching TV, reported feeling a sudden 'weird' sensation 14:12 hours: Patient attempted to stand up, experienced weakness in right arm, slurred speech 14:13 hours: Patient slumped onto couch, wife noticed facial droop and confusion 14:15 hours: Wife called emergency services 14:17 hours: Current time, patient still on couch, wife is by his side Prior Events: Patient had a TIA two years ago, fully recovered. Patient has been compliant with medications. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient lives with his wife.
Initial Impression: Suspected Acute Ischemic Stroke Justification for F1 Classification: - Acute onset of neurological deficits including facial droop, slurred speech, and right arm weakness - High risk of permanent neurological damage without immediate intervention - Time-critical condition requiring rapid assessment and treatment (thrombolysis window) Differential Diagnoses: 1. Ischemic Stroke (high probability) 2. Hemorrhagic Stroke (less likely, but must be ruled out) 3. Transient Ischemic Attack (TIA) (less likely given persistent symptoms) 4. Hypoglycemia (less likely given no history of insulin use) Required Actions: - Dispatch of ground EMS with ALS capabilities - Pre-notification of hospital stroke team - Rapid transport to nearest stroke center - Early assessment using FAST protocol (Facial droop, Arm weakness, Speech difficulty, Time of onset)