Miðgarður 2, 700 Egilsstaðir, single-story detached house. Constructed in 1985. Main entrance faces the street. No security features. Gravel driveway. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2672° N, 14.3957° 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, difficulty speaking, facial droop on the right side. Secondary symptoms: Mild headache, no loss of consciousness. Patient is alert but confused. Medical history: Hypertension, type 2 diabetes. Medications: Metformin 500mg twice daily, Lisinopril 10mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient was watching TV, began to feel a tingling sensation in his right arm and leg. 1405 hours: Patient noticed increasing weakness on the right side and difficulty speaking. 1410 hours: Patient attempted to stand, but stumbled due to right leg weakness. 1412 hours: Wife called emergency services. Patient is currently sitting on the couch. Prior Events: Patient reports no prior similar episodes. Last medical check-up 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 focal neurological deficits (right-sided weakness, slurred speech, facial droop) strongly suggests a cerebrovascular event. - Time-sensitive condition requiring immediate medical evaluation and intervention to minimize potential neurological damage. - Presence of risk factors (hypertension, diabetes) further increases suspicion of stroke. Differential Diagnoses: 1. Ischemic Stroke (most likely) 2. Hemorrhagic Stroke (possible, less likely without severe headache) 3. Transient Ischemic Attack (TIA) (possible, but symptoms are persistent) 4. Hypoglycemia (less likely, patient is alert and not diaphoretic) Required Actions: - Dispatch of ground EMS with ALS capabilities - Pre-notification of nearest stroke center - Rapid transport to hospital for CT scan and further evaluation - Monitoring of vital signs and neurological status en route