Hafnarbraut 15, 780 Höfn, ground floor apartment. Two-story wooden building constructed in 1965. Main entrance has a single step. Street parking available. Building equipped with smoke detectors. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 64.2518° N, 15.2082° W. Nearest landmark: Höfn Harbor.
72-year-old male, sudden onset of right-sided weakness and slurred speech. Patient is conscious but confused. Primary symptoms: Right facial droop, right arm and leg weakness, difficulty speaking. Secondary symptoms: Headache, dizziness, slight nausea. Patient found sitting in a chair in his living room. Medical history: Hypertension, type 2 diabetes, previous transient ischemic attack (TIA) 2 years ago. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Aspirin 75mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 14:45 hours: Patient was watching television, started complaining of a headache 14:50 hours: Patient noticed right-sided weakness and difficulty speaking 14:52 hours: Patient's son found him and called emergency services 14:55 hours: Current time, patient is conscious but confused, with ongoing symptoms Prior Events: Patient had a TIA 2 years ago, no residual deficits. Regular follow-ups with his physician. Patient lives with his son, who is his primary caregiver. No recent illnesses or injuries.
Initial Impression: Suspected Acute Stroke Justification for F1 Classification: - Sudden onset of neurological deficits (right-sided weakness, slurred speech) - High probability of acute ischemic stroke based on symptoms and risk factors - Time-critical condition requiring immediate medical intervention to minimize brain damage Differential Diagnoses: 1. Ischemic Stroke (most likely) 2. Hemorrhagic Stroke (less likely but must be ruled out) 3. Transient Ischemic Attack (TIA) (possible, but symptoms are more severe) 4. Hypoglycemia (less likely given no reported history of insulin use) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities - Pre-notification of the hospital stroke team - Rapid assessment and transport to nearest stroke center - Focus on time-critical interventions, including potential thrombolytic therapy