Hlíðarvegur 5, 690 Vopnafjörður, single-story detached house. Constructed in 1985. Main entrance is on the south side, accessible via a short paved path. No known security features. Current conditions: 2°C, overcast, light snow, moderate visibility. GPS coordinates: 65.7623° N, 14.8309° W. Nearest landmark: Vopnafjarðarkirkja church.
76-year-old male, found unresponsive at home. Primary symptoms: Right-sided facial droop, right arm weakness, slurred speech. Patient is intermittently responsive to verbal stimuli but confused. Secondary symptoms: Possible urinary incontinence, no reported chest pain or shortness of breath. Patient was last seen normal at 21:00 yesterday evening. Medical history: Hypertension, Type 2 diabetes, previous transient ischemic attack (TIA) 2 years ago. Medications: Metformin 1000mg twice daily, Amlodipine 10mg daily, Aspirin 75mg daily. No known allergies. Last meal was dinner around 19:00 yesterday.
Timeline: 2100 hours: Patient was last seen normal, went to bed 0700 hours: Caller found patient unresponsive, tried to wake him 0705 hours: Patient briefly opened eyes, then became unresponsive again 0708 hours: Caller called emergency services 0710 hours: Current time, patient is intermittently responsive, right-sided weakness, slurred speech Prior Events: Previous TIA 2 years ago, no lasting deficits. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, neighbor checks on him daily.
Initial Impression: Suspected Acute Stroke Justification for F1 Classification: - High probability of acute stroke based on sudden onset of right-sided weakness, facial droop, and slurred speech - Altered level of consciousness and intermittent responsiveness indicate a serious neurological event - Time-critical condition requiring immediate intervention (thrombolysis window) Differential Diagnoses: 1. Ischemic Stroke (most likely) 2. Hemorrhagic Stroke (possible, needs further evaluation) 3. Hypoglycemia (less likely given diabetes history, but must be ruled out) 4. Postictal State (less likely given no reported seizure activity) 5. Sepsis (less likely given lack of fever and other signs of infection) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities - Pre-notification of stroke center at nearest hospital - Rapid transport to hospital with CT scan capabilities - Continuous neurological assessment during transport - Preparation for potential thrombolytic therapy