Miðgarður 2, 700 Egilsstaðir, single-story residential house. Built in 1995, wood frame construction. Main entrance on the north side. No elevator. Street parking available. No security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2658° N, 14.3944° W. Nearest landmark: Egilsstaðir swimming pool.
72-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: Mild headache, confusion. Patient is conscious but disoriented. No reported fall or trauma. Patient sitting in a chair in his living room. Medical history: Hypertension, type 2 diabetes, atrial fibrillation. Medications: Metformin 500mg twice daily, Lisinopril 10mg daily, Warfarin 5mg daily. No known allergies. Last meal was lunch at 13:00. Patient was watching television when symptoms began.
Timeline: 1430 hours: Patient was watching television, suddenly developed right-sided weakness and slurred speech 1431 hours: Patient attempted to stand, experienced significant weakness 1432 hours: Patient's wife called emergency services 1435 hours: Current time, patient is sitting in a chair, wife is present Prior Events: Patient has a history of hypertension, type 2 diabetes, and atrial fibrillation. Has been stable on medications. Last medical check-up 2 months ago, routine follow-up. No recent illnesses or injuries. Patient lives with his wife.
Initial Impression: Suspected Acute Stroke Justification for F1 Classification: - Sudden onset of focal neurological deficits (facial droop, hemiparesis, dysarthria) - High probability of acute ischemic stroke based on presentation and risk factors (hypertension, atrial fibrillation) - Time-sensitive condition requiring immediate medical intervention (thrombolysis window) Differential Diagnoses: 1. Ischemic Stroke (high probability) 2. Hemorrhagic Stroke (possible, requires imaging to differentiate) 3. Transient Ischemic Attack (TIA) (less likely given persistent symptoms) 4. Hypoglycemia (less likely given patient's history and no signs of sweating or tremor) Required Actions: - Dispatch of ground EMS with ALS capabilities - Early hospital notification for stroke team activation - Rapid transport to the nearest stroke center - Assessment of last known well time