Hafnarstræti 18, 600 Akureyri, second floor office. A three-story brick building constructed in 1955. Main entrance has a keypad lock, code is 1955. There is one elevator and a central stairwell. Street parking available. Building has a fire alarm system. Current conditions: 7°C, cloudy, moderate visibility. GPS coordinates: 65.6821° N, 18.0919° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, sudden onset of right-sided weakness and slurred speech. Primary symptoms: Right facial droop, right arm and leg weakness, difficulty speaking. Secondary symptoms: Confusion, headache. Patient alert but disoriented. Patient sitting at his desk in his office. Medical history: Hypertension, type 2 diabetes, hyperlipidemia. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient was working at his desk when he suddenly developed right-sided weakness and slurred speech. 1416 hours: Patient attempted to stand but had difficulty due to right leg weakness. 1417 hours: Patient's coworker noticed his symptoms and called emergency services. 1419 hours: Current time, patient is sitting at his desk, confused and unable to speak clearly. Prior Events: Patient reports no prior strokes or TIAs. Last medical check-up 6 months ago, routine follow-up. Patient has a history of poorly controlled hypertension and diabetes. No recent illnesses or injuries. Patient was at work and alone in his office when symptoms started.
Initial Impression: Suspected Acute Stroke Justification for F1 Classification: - Sudden onset of focal neurological deficits (right-sided weakness, slurred speech) - Time-sensitive condition requiring immediate intervention to minimize brain damage - Symptoms consistent with a stroke, a life-threatening emergency Differential Diagnoses: 1. Ischemic Stroke (most likely) 2. Hemorrhagic Stroke (possible, requires imaging) 3. Transient Ischemic Attack (TIA) (less likely given persistent symptoms) 4. Hypoglycemia (unlikely given patient history and presentation) 5. Seizure (less likely given lack of convulsive activity) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate transport to nearest stroke center (Akureyri Hospital) - Pre-notification of hospital for stroke alert - Rapid neurological assessment upon arrival