Hafnarstræti 98, 600 Akureyri, second floor apartment. The building is a three-story mixed-use structure, approximately 40 years old, with commercial spaces on the ground floor and residential units above. The main entrance is on Hafnarstræti, with a keypad lock. There is also a back entrance accessible from a small parking area. No elevator, only a central stairwell. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6821° N, 18.0918° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, experiencing sudden onset of right-sided weakness and slurred speech. Patient is conscious but confused. Initial symptoms started approximately 30 minutes ago. No recent trauma reported. Medical history includes hypertension and type 2 diabetes. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 13:30 hours: Patient was watching television, reports feeling sudden weakness on his right side 13:35 hours: Patient attempts to stand, experiences difficulty with balance and slurred speech 13:40 hours: Patient's wife (caller) notices symptoms, calls emergency services 13:45 hours: Current time, patient is conscious but confused, wife is assisting him Prior Events: Patient has a history of hypertension and type 2 diabetes, both managed with medication. No recent changes in medications. No prior stroke or TIA. No recent illness or injuries. Last medical check-up was 6 months ago, routine follow-up. Patient lives with his wife, who is the caller.
Initial Impression: Suspected Acute Stroke/Transient Ischemic Attack (TIA) Justification for F2 Classification: - Sudden onset of neurological deficits (right-sided weakness, slurred speech) - Potential for rapid deterioration and irreversible neurological damage - Time-sensitive condition requiring rapid assessment and intervention Differential Diagnoses: 1. Acute Ischemic Stroke (high probability) 2. Transient Ischemic Attack (TIA) (high probability) 3. Intracranial Hemorrhage (less likely without trauma history, but cannot be excluded) 4. Hypoglycemia (less likely, patient is not diabetic and has eaten recently) 5. Seizure (less likely, no history of seizure, no tonic-clonic activity reported) Required Actions: - Dispatch of ground EMS with ALS capabilities - Pre-hospital stroke assessment (FAST assessment) - Rapid transport to nearest stroke-capable hospital - Early hospital notification for stroke team activation