Miðstræti 10, 900 Vestmannaeyjar, first floor apartment 1B. A two-story wooden residential building constructed in 1965. Main entrance has a standard door lock. No elevator, only a central stairwell. Street parking available. Building has a basic smoke alarm system. Current conditions: 8°C, overcast, moderate wind, good visibility. GPS coordinates: 63.4408° N, 20.2707° W. Nearest landmark: Landakirkja church.
72-year-old male, exhibiting sudden onset of stroke symptoms. Primary symptoms: Left-sided facial droop, slurred speech, weakness in left arm and leg. Patient is conscious but confused. Secondary symptoms: Mild headache, patient appears pale and sweaty. Patient sitting on a chair in the living room. Medical history: Hypertension, Type 2 diabetes, previous transient ischemic attack (TIA) 3 years ago. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1410 hours: Patient was watching television, felt sudden onset of weakness in his left side 1411 hours: Patient's wife noticed his slurred speech and facial droop 1412 hours: Patient tried to stand but was unable due to left leg weakness 1413 hours: Wife called emergency services 1415 hours: Current time, patient sitting on chair, confused, wife providing support Prior Events: Patient had a TIA three years ago, fully recovered. Recent blood pressure check 2 weeks ago showed slightly elevated readings. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient lives with his wife.
Initial Impression: Acute Stroke Justification for F1 Classification: - Sudden onset of neurological deficits, including facial droop, slurred speech, and hemiparesis, strongly suggests acute stroke. - Time-sensitive condition requiring immediate intervention to minimize neurological damage. - High risk of permanent disability or death if treatment is delayed. Differential Diagnoses: 1. Ischemic Stroke (most likely given presentation) 2. Hemorrhagic Stroke (less likely but cannot be ruled out initially) 3. Hypoglycemia (less likely given patient is conscious and not diabetic crisis) 4. Seizure (less likely given presentation of focal weakness and speech issues) 5. TIA (less likely given the severity and duration of symptoms) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities - Pre-notification of the nearest stroke center (Landspítali National University Hospital) - Rapid transport to the hospital with stroke protocol activation - Continuous monitoring of vital signs and neurological status