Miðgarður 12, 700 Egilsstaðir, Single-story residential home built in 1985. Main entrance has a single step. Gravel driveway. No security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2667° N, 14.3942° W. Nearest landmark: Egilsstaðir Airport.
68-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. Secondary symptoms: Mild headache, no loss of consciousness. Patient is awake and responsive but confused. Patient is sitting in a chair in the living room. Medical history: Hypertension, type 2 diabetes. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1345 hours: Patient was watching TV, suddenly felt weakness on his right side 1346 hours: Patient noticed slurred speech and difficulty moving his right arm and leg 1347 hours: Patient's wife called emergency services 1350 hours: Current time, patient is still experiencing symptoms, wife is with him. Prior Events: Patient has a history of hypertension and type 2 diabetes, well-controlled with medication. No previous strokes or TIAs. 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 including weakness, facial droop, and speech difficulty - Time-sensitive condition requiring rapid intervention to minimize long-term neurological damage - Risk of rapid deterioration Differential Diagnoses: 1. Ischemic Stroke (most likely) 2. Hemorrhagic Stroke (less likely but must be considered) 3. Transient Ischemic Attack (TIA) (possible but less likely given persistent symptoms) 4. Hypoglycemia (less likely given patient's diabetic control and no reported change in mental status) Required Actions: - Dispatch of ground EMS with ALS capabilities - Pre-notification of hospital with stroke center - Rapid transport to hospital - Stroke protocol initiation including time of symptom onset and neurological assessment