Hafnarstræti 2, 400 Ísafjörður, second floor apartment 2B. Three-story wooden residential building constructed in 1955. Main entrance requires a key. One narrow stairwell, no elevator. Street parking available. Building equipped with smoke detectors. Current conditions: 8°C, overcast, moderate visibility. GPS coordinates: 66.0762° N, 23.1255° W. Nearest landmark: Ísafjörður Hospital.
68-year-old male, sudden onset of right-sided weakness and slurred speech. Primary symptoms: Right arm and leg weakness, facial droop on the right side, difficulty speaking. Secondary symptoms: Mild headache, confusion, patient is conscious but agitated. Patient found sitting in a chair in his living room. Medical history: Hypertension, Type 2 Diabetes. Medications: Metformin 500mg twice daily, Lisinopril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 1415 hours: Patient was watching television, felt sudden weakness in right arm and leg. 1416 hours: Patient attempted to stand, fell back into chair, noted slurred speech. 1417 hours: Patient's wife called emergency services. 1420 hours: Current time, patient remains in chair, confused and agitated. Prior Events: Patient reports no recent illnesses or injuries. Has had stable blood pressure and glucose control. Last medical check-up 6 months ago, routine follow-up. Patient lives with his wife.
Initial Impression: Suspected Acute Stroke Justification for F2 Classification: - Sudden onset of focal neurological deficits (hemiparesis, dysarthria, facial droop) - High probability of stroke based on symptoms and risk factors (hypertension, diabetes) - Time-sensitive condition requiring rapid medical evaluation and potential thrombolysis Differential Diagnoses: 1. Ischemic Stroke (high probability) 2. Hemorrhagic Stroke (possible, requires imaging to differentiate) 3. Transient Ischemic Attack (TIA) (less likely due to persistent symptoms) 4. Hypoglycemia (less likely given patient's history and no reported sweating or tremors) Required Actions: - Dispatch of ground EMS with ALS capabilities - Rapid transport to nearest hospital with stroke management capabilities - Pre-hospital stroke assessment (FAST exam) - Early hospital notification of suspected stroke