Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. Five-story reinforced concrete building built in 1995. Main entrance requires key or intercom. One elevator and central stairwell. Street parking available. Building has fire alarm system and sprinkler system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6819° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
68-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: Mild headache, confusion. Patient is conscious but disoriented. Medical history: Hypertension, type 2 diabetes. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 1510 hours: Patient was watching TV when he suddenly experienced weakness in his right arm and leg. Noticed difficulty speaking 1512 hours: Patient attempted to stand, experienced difficulty with balance, wife noticed facial droop 1514 hours: Wife called emergency services 1516 hours: Current time, patient is conscious but confused, symptoms persisting Prior Events: Patient reports no prior strokes or TIAs. Hypertension well controlled with medication. Last medical check-up was 6 months ago, routine follow-up. No recent illnesses or injuries. Patient lives with his wife, who is present at the scene.
Initial Impression: Suspected Acute Stroke (Cerebrovascular Accident) Justification for F1 Classification: - Sudden onset of focal neurological deficits (right-sided weakness, slurred speech, facial droop) - High probability of acute ischemic stroke based on symptoms - Time-critical condition requiring immediate intervention (thrombolysis window) - Potential for rapid deterioration and irreversible neurological damage Differential Diagnoses: 1. Ischemic Stroke (high probability) 2. Hemorrhagic Stroke (less likely, but cannot be ruled out) 3. Transient Ischemic Attack (TIA) (possible, but symptoms are severe and persistent) 4. Hypoglycemia (less likely given patient's history and symptoms) 5. Seizure (less likely given focal deficits) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities - Pre-notification of hospital stroke team - Rapid assessment using stroke scale (e.g., NIHSS) - Preparation for potential thrombolytic therapy or mechanical thrombectomy