Miðgarður 2, 700 Egilsstaðir, single-story detached house. Constructed in 1985, concrete foundation with wood framing. Main entrance faces the street, no security features. Gravel driveway, ample parking. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2645° N, 14.3942° W. Nearest landmark: Egilsstaðir 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 on the sofa in the living room. Medical history: Hypertension, type 2 diabetes, previous transient ischemic attack (TIA) 2 years ago. Medications: Metformin 1000mg twice daily, Amlodipine 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 1430 hours: Patient was watching TV when he suddenly developed right-sided weakness and difficulty speaking. 1432 hours: Patient attempted to stand but experienced difficulty with balance. 1435 hours: Patient’s wife noticed the symptoms and called emergency services. 1437 hours: Current time, patient is conscious but confused, sitting on the sofa. Prior Events: Patient had a TIA 2 years ago, fully recovered. 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: - Sudden onset of focal neurological deficits (right-sided weakness, slurred speech, facial droop) - History of previous TIA increases risk of stroke - Time-sensitive condition requiring prompt medical evaluation and treatment Differential Diagnoses: 1. Acute Ischemic Stroke (high probability) 2. Hemorrhagic Stroke (possible, requires further evaluation) 3. Transient Ischemic Attack (TIA) (possible, but symptoms are more severe and persistent) 4. Hypoglycemia (less likely, given medical history, but must be ruled out) 5. Seizure (less likely, no reported convulsions) Required Actions: - Dispatch of ground EMS with ALS capabilities - Rapid transport to the nearest stroke center - Pre-hospital stroke assessment and documentation (FAST assessment) - Notification of receiving hospital of potential stroke patient