Heiðarvegur 14, 900 Vestmannaeyjar. Single-story residential house, built in 1965, concrete construction. Main entrance is at the front of the house, no security features. Parking available on the street. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 63.4401° N, 20.2756° W. Nearest landmark: Vestmannaeyjar Golf Club.
78-year-old male, sudden onset of right-sided weakness and slurred speech. Patient found by his son, who is the caller. Primary symptoms: Right facial droop, right arm and leg weakness, difficulty speaking. Secondary symptoms: Confusion, mild headache. Patient is conscious but disoriented. No reported chest pain or shortness of breath. Patient sitting in a chair in the living room.
Timeline: 10:00 hours: Patient was observed to be normal by his son. 10:15 hours: Son found patient with right-sided weakness and slurred speech. 10:16 hours: Son called emergency services. 10:18 hours: Current time, patient still sitting in chair, symptoms unchanged. Prior Events: Patient has a history of hypertension and atrial fibrillation. Medications: Warfarin 5mg daily, Amlodipine 10mg daily, Bisoprolol 5mg daily. No known allergies. Last meal was a light breakfast at 08:00. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, but his son visits daily.
Initial Impression: Suspected Acute Stroke (Cerebrovascular Accident) Justification for F1 Classification: - Sudden onset of focal neurological deficits (right-sided weakness, facial droop, slurred speech) - Time-critical condition requiring immediate intervention to minimize neurological damage - High probability of stroke based on symptoms and patient's medical history Differential Diagnoses: 1. Ischemic Stroke (most likely) 2. Hemorrhagic Stroke (possible) 3. Transient Ischemic Attack (TIA) (less likely given persistent symptoms) 4. Hypoglycemia (less likely given no history of diabetes) 5. Seizure (less likely given lack of convulsive activity) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities - Pre-notification of hospital stroke team - Rapid transport to nearest hospital with stroke treatment capabilities - Continuous monitoring of vital signs and neurological status