Hafnarstræti 18, 600 Akureyri. Third floor apartment 3B in a four-story building, built in 1965, with a mix of concrete and wood construction. Main entrance with a key code, elevator and stairwell access. Street parking is available. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6822° N, 18.0915° W. Landmark: Akureyri Art Museum is nearby.
62-year-old male, experiencing sudden onset of right-sided weakness and slurred speech. Patient is conscious but confused. Primary symptoms: Right arm and leg weakness, facial droop on the right side, difficulty speaking. Secondary symptoms: Mild headache, dizziness. Patient is sitting on a chair in the 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: 14:15 hours: Patient was watching television, noticed sudden weakness in right arm 14:16 hours: Patient attempted to stand, noticed right leg weakness and difficulty speaking 14:17 hours: Patient sat down on the chair, feeling dizzy and confused 14:18 hours: Patient called his son, Jónas, for help 14:20 hours: Jónas arrived, called emergency services 14:22 hours: Current time, patient remains seated, symptoms persistent Prior Events: Patient has a history of hypertension and type 2 diabetes, managed with medication. No recent hospitalizations. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, but son lives nearby.
Initial Impression: Suspected Acute Stroke Justification for F2 Classification: - Sudden onset of focal neurological deficits (weakness, slurred speech, facial droop) - Time-sensitive condition requiring rapid assessment and intervention to minimize potential long-term disability - High probability of stroke given the combination of symptoms and risk factors (hypertension, diabetes) Differential Diagnoses: 1. Ischemic Stroke (most likely) 2. Hemorrhagic Stroke (possible, but less likely given absence of severe headache) 3. Transient Ischemic Attack (TIA) (possible, but symptoms are persistent) 4. Hypoglycemia (less likely given no history of insulin use) 5. Bell's Palsy (less likely given associated limb weakness) Required Actions: - Dispatch of ground EMS with ALS capabilities - Rapid transport to nearest hospital with stroke center - Pre-notification of hospital for stroke alert - Continuous monitoring of vital signs and neurological status