Hafnarbraut 1, 780 Höfn, Ground floor apartment. Two-story concrete building, built in 1985. Main entrance accessible via ramp, no security features. Street parking available. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 64.2514° N, 15.2082° W. Nearest landmark: Höfn Harbour.
65-year-old male, experiencing sudden onset of right-sided weakness and slurred speech. Patient is conscious but confused. Primary symptoms: Facial droop on the right side, right arm and leg weakness, difficulty speaking. Secondary symptoms: Mild headache, nausea. Patient found by wife in living room. No known allergies. Medications: Atorvastatin 20mg daily for hyperlipidemia. Medical history: Hypertension, diagnosed 5 years ago, well-controlled with medication. Last meal was a light breakfast at 07:00.
Timeline: 0830 hours: Patient was fine, having breakfast with wife 0845 hours: Wife noticed patient's speech was slurred, right side of face drooping 0846 hours: Patient attempted to stand but had weakness in right leg and arm 0847 hours: Wife called emergency services 0849 hours: Current time, patient is conscious but confused, unable to speak clearly. Prior Events: No prior stroke history. Patient had a routine check-up 6 months ago, all results were normal. No recent illnesses or injuries. Patient is a retired fisherman.
Initial Impression: Suspected Acute Ischemic Stroke Justification for F1 Classification: - Sudden onset of focal neurological deficits (facial droop, hemiparesis, dysarthria) - Time-critical condition requiring immediate intervention to minimize neurological damage - High probability of stroke based on FAST assessment Differential Diagnoses: 1. Ischemic Stroke (most likely) 2. Hemorrhagic Stroke (possible, but less likely given presentation) 3. Transient Ischemic Attack (TIA) (possible, but symptoms are severe and persistent) 4. Hypoglycemia (less likely given no known diabetes and patient had breakfast) Required Actions: - Dispatch of ground EMS with ALS capabilities and pre-notification of the hospital for stroke alert - Immediate transport to the nearest stroke center - Continuous neurological assessment and vital signs monitoring - Preparation for possible thrombolytic therapy