Miðgarður 15, 700 Egilsstaðir. Single-story residential house, built in 1985. Main entrance on the south side, no security features. Gravel driveway with parking. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.2673° N, 14.3951° W. Nearest landmark: Egilsstaðir Airport.
65-year-old male, experiencing 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, dizziness. Patient is conscious but confused. Patient is sitting on a chair in the living room. Medical history: Hypertension, type 2 diabetes. Medications: Metformin 500mg twice daily, Lisinopril 20mg daily, Atorvastatin 10mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 1500 hours: Patient was watching TV, felt sudden weakness in his right arm 1502 hours: Patient tried to stand up, noticed weakness in right leg and difficulty speaking 1505 hours: Patient's wife called emergency services 1507 hours: Current time, patient sitting on chair, conscious but confused Prior Events: Patient reports no prior similar episodes. Last medical check-up was 6 months ago, routine follow-up. No recent illnesses or injuries. Patient lives with his wife.
Initial Impression: Suspected Acute Stroke Justification for F2 Classification: - Sudden onset of neurological deficits including unilateral weakness and speech impairment - High suspicion for cerebrovascular event requiring rapid medical intervention - Time-sensitive condition, potential for significant morbidity if not addressed quickly Differential Diagnoses: 1. Ischemic Stroke (high probability) 2. Transient Ischemic Attack (TIA) (possible, but symptoms persistent) 3. Intracranial Hemorrhage (less likely, no severe headache or altered consciousness) 4. Hypoglycemia (less likely, patient is diabetic but not reported insulin use) 5. Seizure (less likely, no history of seizures, no convulsions reported) Required Actions: - Dispatch of ground EMS with ALS capabilities - Rapid transport to nearest stroke center - Pre-notification of hospital for potential thrombolysis candidacy - Continuous monitoring of vital signs and neurological status