Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. A five-story reinforced concrete building constructed in 1992. Main entrance has a coded lock; code will be provided upon request. Elevator and central stairwell available. Street parking available, often limited during peak hours. Building is equipped with a sprinkler system and fire alarm. Current conditions: 7°C, overcast, moderate visibility, light wind. GPS coordinates: 65.6825° N, 18.0923° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, sudden onset of stroke symptoms. Primary symptoms: Right-sided facial droop, weakness in right arm and leg, slurred speech, confusion. Patient is conscious but disoriented. Secondary symptoms: Headache, dizziness. Patient sitting in a chair in the living room. Medical history: Hypertension, Type 2 Diabetes, Atrial Fibrillation. Medications: Metoprolol 50mg daily, Metformin 1000mg twice daily, Warfarin 5mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient was watching television, reported sudden onset of symptoms. 1431 hours: Patient attempted to stand, experienced weakness on right side, and slurred speech. 1432 hours: Patient called his son for help. 1433 hours: Son arrived, assessed the situation, and called emergency services. 1435 hours: Current time, patient is sitting in a chair, conscious but confused. Prior Events: Patient has a history of transient ischemic attacks (TIAs) within the last year, last TIA episode 3 months ago. Regular check-ups with cardiologist and endocrinologist. No recent changes in medications or health conditions. Patient lives with his wife, who is currently out shopping.
Initial Impression: Suspected Acute Ischemic Stroke Justification for F1 Classification: - Rapid onset of focal neurological deficits (facial droop, unilateral weakness, slurred speech) - Time-sensitive condition requiring immediate intervention (thrombolysis or thrombectomy) - High risk of permanent disability or death without prompt treatment Differential Diagnoses: 1. Acute Ischemic Stroke (most likely) 2. Hemorrhagic Stroke (less likely but cannot be ruled out) 3. Transient Ischemic Attack (TIA) (possible, but current symptoms are more severe and persistent) 4. Hypoglycemia (less likely given patient's history and absence of sweating/tremors) Required Actions: - Dispatch of ground EMS with ALS capabilities - Early notification of the nearest stroke center (Akureyri Hospital) - Rapid transport to hospital for imaging and treatment - Pre-hospital stroke assessment (FAST scale)