Hafnarstræti 91, 600 Akureyri, third floor apartment 3B. A five-story mixed-use building constructed in 1995, with commercial spaces on the ground floor and residential units above. Main entrance has a coded lock (code: 1945). There is one elevator and a central stairwell. Street parking available. The building is equipped with a fire alarm system. Current conditions: 7°C, overcast, light wind. GPS coordinates: 65.6819° N, 18.0877° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, found unresponsive by his son. Primary symptoms: Sudden onset of right-sided facial droop, slurred speech, and right arm weakness. Patient is now unresponsive. Secondary symptoms: None reported. Patient is lying on the sofa in the living room. Medical history: Hypertension, type 2 diabetes. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1330 hours: Patient was observed to be talking normally. 1345 hours: Patient's son noticed slurred speech and facial droop while talking on the phone. 1347 hours: Patient's son noticed right arm weakness and called emergency services. 1349 hours: Patient became unresponsive. Son is now calling from the scene. Prior Events: Patient has a history of poorly controlled hypertension and type 2 diabetes. Last medical check-up was 6 months ago, routine follow-up. No recent illnesses or injuries reported. Patient lives with his son.
Initial Impression: Suspected Acute Stroke Justification for F1 Classification: - Sudden onset of focal neurological deficits (facial droop, slurred speech, arm weakness) - Rapid progression to unresponsiveness - Time-critical condition requiring immediate intervention (thrombolysis or thrombectomy) Differential Diagnoses: 1. Ischemic Stroke (most likely given presentation) 2. Hemorrhagic Stroke (less likely, but must be considered) 3. Hypoglycemia (less likely given no history of insulin use) 4. Seizure (less likely given focal neurological deficits) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities - Pre-notification of stroke center at Akureyri Hospital - Rapid assessment and transport to hospital - Preparation for potential thrombolysis or thrombectomy