Hafnarbraut 10, 780 Höfn, ground floor of a single-story commercial building. The building is concrete, built in 1985, with a single main entrance facing the harbor. Street parking is available. No known security features. Weather conditions: 8°C, overcast, light drizzle. GPS coordinates: 64.2526° N, 15.2083° W. Nearest landmark: Höfn harbor.
72-year-old male, sudden onset of left-sided weakness and slurred speech. Patient found by his son at his place of business. Primary symptoms: left arm and leg weakness, facial droop on the left side, slurred speech. Secondary symptoms: confusion, mild headache. Patient is conscious but appears disoriented. No reported chest pain or breathing difficulties. Patient is sitting in a chair in his office. Medical history: Hypertension, Type 2 Diabetes, Atrial Fibrillation. Medications: Metoprolol 50mg twice daily, Metformin 500mg twice daily, Warfarin 5mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 1415 hours: Patient was last seen normal by his son 1430 hours: Son returned to the office and found patient with left sided weakness and slurred speech 1432 hours: Son called emergency services 1435 hours: Current time, patient is still sitting in chair with above symptoms Prior Events: Patient reports no recent illnesses or injuries. Has been managing his chronic conditions with medications. Last medical check-up 2 months ago, routine follow-up. Patient has no history of strokes or TIAs. No recent changes to medications. No recent travel.
Initial Impression: Suspected Acute Stroke Justification for F1 Classification: - Sudden onset of focal neurological deficits (left-sided weakness, facial droop, slurred speech) - High probability of acute stroke requiring immediate medical intervention - Time-critical condition with potential for irreversible brain damage - Requires immediate transport to a stroke-capable hospital Differential Diagnoses: 1. Ischemic Stroke (high probability) 2. Hemorrhagic Stroke (possible, needs differentiation at hospital) 3. Transient Ischemic Attack (TIA) (less likely given persistent symptoms) 4. Hypoglycemia (less likely given no history of insulin use and no reported diaphoresis) 5. Seizure (less likely given no reported seizure activity) Required Actions: - Dispatch of ground EMS with ALS capabilities - Pre-notification of hospital stroke team - Rapid transport to nearest stroke center - Continuous monitoring of vital signs and neurological status - Assessment of stroke severity (e.g., NIHSS if possible)