Miðgarður 14, 700 Egilsstaðir. Single-story residential house, built in 1985. Main entrance at street level, no steps. Gravel driveway. No security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2678° N, 14.3928° W. Nearest landmark: Egilsstaðir Swimming Pool.
62-year-old male, experiencing sudden onset of left-sided weakness and slurred speech. Primary symptoms: Left arm and leg weakness, facial droop on the left side, difficulty speaking. Secondary symptoms: Mild headache, slight confusion. Patient is awake but appears distressed. Medical history: Hypertension, hyperlipidemia. Medications: Amlodipine 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 14:30 hours: Patient was watching television, reported feeling sudden weakness in left arm. 14:32 hours: Patient tried to stand, noticed left leg was weak. Also experienced slurred speech. 14:35 hours: Patient's wife called emergency services. Patient remains seated on the sofa. 14:37 hours: Current time. Patient is awake but has difficulty speaking clearly. Wife is present and assisting. Prior Events: Patient has a history of hypertension and hyperlipidemia, controlled with medication. No prior history of stroke or TIA. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries.
Initial Impression: Suspected Acute Stroke (Cerebrovascular Accident) Justification for F2 Classification: - Sudden onset of focal neurological deficits (left-sided weakness, slurred speech, facial droop) - High probability of a time-sensitive condition requiring immediate intervention to minimize brain damage - Potential for rapid deterioration Differential Diagnoses: 1. Ischemic Stroke (most likely) 2. Hemorrhagic Stroke (possibility, needs imaging to confirm) 3. Transient Ischemic Attack (TIA) (possible, but symptoms are persistent) 4. Hypoglycemia (less likely, no history of diabetes, but needs to be ruled out) 5. Bell's Palsy (less likely due to limb weakness) Required Actions: - Dispatch of ground EMS with ALS capabilities - Pre-notification of receiving hospital with stroke unit - Rapid transport to hospital with stroke intervention capabilities - On-scene assessment using stroke scales (e.g., NIHSS) if possible - Check blood glucose levels (if possible)