Hafnarbraut 1, 780 Höfn, ground floor of the community health center. One-story concrete building, constructed in 1985. Main entrance is accessible by a ramp. Street parking available. Building has a fire alarm system. Current conditions: 7°C, overcast, moderate visibility, light breeze. GPS coordinates: 64.2529° N, 15.2079° W. Nearest landmark: Höfn harbor.
65-year-old male, sudden onset of right-sided weakness and difficulty speaking. Primary symptoms: Right arm and leg weakness, slurred speech, facial droop on the right side. Secondary symptoms: Mild headache, no loss of consciousness. Patient is alert but confused. Patient is sitting in a chair in the waiting room of the health center. Medical history: Hypertension, type 2 diabetes, hyperlipidemia. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was lunch at 13:00.
Timeline: 1400 hours: Patient was talking normally with his wife 1405 hours: Patient began to experience weakness in his right arm and leg, slurred speech 1407 hours: Patient's wife brought him to the health center, symptoms worsening 1410 hours: Patient is now in the waiting room, unable to speak clearly 1412 hours: Current time, wife called emergency services Prior Events: Patient has a history of hypertension, diabetes, and high cholesterol. No previous strokes or TIAs. Last check-up was 6 months ago, routine follow-up. No recent illnesses or injuries. Patient lives with his wife.
Initial Impression: Suspected Acute Stroke (CVA) Justification for F2 Classification: - Acute onset of focal neurological deficits (right-sided weakness, slurred speech, facial droop) - High probability of stroke based on symptoms and risk factors - Time-sensitive condition requiring rapid medical intervention to minimize brain damage Differential Diagnoses: 1. Ischemic Stroke (most likely) 2. Hemorrhagic Stroke (possible, requires imaging to confirm) 3. Transient Ischemic Attack (TIA) (possible, but symptoms are persistent) 4. Hypoglycemia (less likely, patient is not known to have low blood sugar) 5. Seizure (less likely, no seizure activity reported) Required Actions: - Dispatch of ground EMS with ALS capabilities - Pre-notification of hospital for potential stroke activation - Rapid transport to nearest stroke center (if available) - Monitoring of vital signs and neurological status