Aðalgata 14, 550 Sauðárkrókur. Two-story wooden residential building, built in 1955, with a single main entrance. Street parking available. No elevator, stairs to the second floor. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.7455° N, 19.6413° W. Nearest landmark: Sauðárkrókur swimming pool.
65-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. Patient alert but confused. Secondary symptoms: Mild headache, dizziness. Patient sitting in a chair. Medical history: Hypertension, type 2 diabetes. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily. No known allergies. Last meal was a sandwich at 13:00.
Timeline: 1410 hours: Patient was watching TV, reported sudden onset of weakness in right arm 1412 hours: Patient attempted to stand, experienced right leg weakness, fell back into chair 1413 hours: Patient's speech became slurred, facial droop noticed by wife 1415 hours: Wife called emergency services 1417 hours: Current time, patient sitting in chair, confused, right-sided weakness, slurred speech Prior Events: Patient reports occasional mild headaches, no previous episodes of weakness or speech problems. 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 (weakness, speech difficulty, facial droop) - High probability of stroke based on presentation - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Ischemic Stroke (most likely given presentation) 2. Hemorrhagic Stroke (less likely but possible) 3. Transient Ischemic Attack (TIA) (possible, but symptoms persist) 4. Hypoglycemia (less likely, patient is diabetic but not reported recent insulin use) Required Actions: - Dispatch of ground EMS with ALS capabilities - Rapid transport to the nearest stroke center - Pre-notification of hospital with stroke team activation - Monitoring of vital signs and neurological status