Hlíðarvegur 7, 400 Ísafjörður, detached single-story residential house built in 1965. Main entrance at ground level, no stairs. No security features. Gravel driveway. Current conditions: 8°C, overcast, light rain, moderate visibility. GPS coordinates: 66.0721° N, 23.1248° W. Nearest landmark: Ísafjörður Hospital.
3-year-old male, experiencing a seizure. Primary symptoms: Generalized tonic-clonic seizure, loss of consciousness, post-ictal phase. Secondary symptoms: Elevated temperature, possible febrile seizure. Patient is now post-ictal, drowsy, and not fully responsive. Patient is in the living room, lying on the sofa. Medical history: Previous febrile seizure at 18 months, no other significant history. No known allergies. Medications: None. Last oral intake was a light snack at 17:00.
Timeline: 18:00 hours: Patient was playing normally 18:15 hours: Patient started crying, felt warm to touch 18:20 hours: Patient experienced a generalized tonic-clonic seizure lasting approximately 2 minutes 18:22 hours: Seizure stopped, patient now post-ictal, drowsy, and not fully responsive 18:25 hours: Caller contacted emergency services. Prior Events: Patient had one prior febrile seizure at 18 months, no other significant medical events. No recent travel or exposure to illness. Immunization schedule is up to date. Patient has been slightly unwell for the past 24 hours with a mild cold.
Initial Impression: Febrile Seizure Justification for F3 Classification: - Seizure activity has ceased, patient is now post-ictal - History of previous febrile seizure, consistent with presentation - Non-life-threatening condition in the immediate term but requires medical evaluation and monitoring Differential Diagnoses: 1. Febrile Seizure (high probability) 2. Epilepsy (less likely given prior history and age) 3. Meningitis (less likely, no stiff neck reported) 4. Hypoglycemia (less likely, no history of diabetes) Required Actions: - Dispatch of ground EMS with BLS capabilities - Assessment of airway, breathing, and circulation - Monitoring of vital signs and neurological status - Transport to hospital for evaluation and management