Miðgarður 11, 700 Egilsstaðir, single-story residential house built in 1995. Main entrance has a small porch with three steps. No elevator. Street parking available. Current conditions: 3°C, clear sky, good visibility. GPS coordinates: 65.2667° N, 14.3956° W. Nearest landmark: Egilsstaðir Swimming Pool.
75-year-old male, found by wife with sudden onset of left-sided weakness and slurred speech. Primary symptoms: Left arm and leg weakness, facial droop on the left side, difficulty speaking, confusion. Patient was watching TV when symptoms started. Patient is awake but confused. Medical history: Hypertension, type 2 diabetes, previous transient ischemic attack (TIA) 2 years ago. Medications: Metformin 500mg twice daily, Amlodipine 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 15:30 hours: Patient was watching TV, wife was in the kitchen 15:32 hours: Wife noticed patient slurring speech and having difficulty moving his left arm 15:33 hours: Wife helped patient to a chair, patient's left leg became weak, and he developed facial droop 15:35 hours: Wife called emergency services, patient is now confused and struggling to speak 15:37 hours: Current time, patient is sitting in a chair, wife is with him Prior Events: Patient had a TIA 2 years ago, fully recovered. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient lives with his wife.
Initial Impression: Acute Stroke (Cerebrovascular Accident) Justification for F1 Classification: - Sudden onset of focal neurological deficits (left-sided weakness, facial droop, slurred speech) - Time-critical condition requiring immediate intervention (thrombolysis or thrombectomy) - High risk of permanent neurological damage if not treated promptly - History of TIA increases suspicion of stroke Differential Diagnoses: 1. Ischemic Stroke (most likely given symptoms) 2. Hemorrhagic Stroke (less likely but cannot be ruled out) 3. Transient Ischemic Attack (TIA) (less likely given persistent symptoms) 4. Hypoglycemia (possible given history of diabetes, but patient not reported to be sweating or having tremors) 5. Seizure (less likely, no report of convulsions) Required Actions: - Dispatch of ground EMS with ALS capabilities - Early notification of the stroke center at the nearest hospital (FSA) - Pre-arrival assessment for stroke scales (FAST or similar) - Preparation for rapid transport to a hospital capable of stroke intervention