Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. A five-story concrete building constructed in 1995. Main entrance has a key code. Elevator and stairwell available. Street parking. Building has a basic fire alarm system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6823° N, 18.0932° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing sudden onset of right-sided weakness and slurred speech. Primary symptoms: Facial droop on the right side, right arm and leg weakness, difficulty speaking, confusion. Secondary symptoms: Headache, dizziness, nausea. Patient is conscious but disoriented. Patient sitting in a chair in his living room. Medical history: Hypertension, 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: 1410 hours: Patient was watching TV, suddenly felt weak and confused. 1412 hours: Patient noticed right-sided weakness, slurred speech. 1415 hours: Patient's wife called emergency services. 1418 hours: Current time, patient is still weak and confused. Prior Events: Patient reports occasional headaches. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient lives with his wife.
Initial Impression: Suspected Acute Stroke Justification for F2 Classification: - High probability of acute stroke based on sudden onset of focal neurological deficits - Right-sided weakness, slurred speech, facial droop, and confusion are highly suggestive of stroke - Time-sensitive condition requiring rapid medical intervention to minimize neurological damage Differential Diagnoses: 1. Ischemic Stroke (most likely) 2. Hemorrhagic Stroke (less likely but cannot be excluded) 3. Transient Ischemic Attack (TIA) (possible but requires evaluation) 4. Hypoglycemia (less likely given patient's history and presentation) 5. Seizure (less likely given absence of convulsions) Required Actions: - Dispatch of ground EMS with ALS capabilities - Rapid transport to nearest hospital with stroke center - Pre-notification of hospital stroke team - Oxygen administration and continuous vital sign monitoring