Hlíðarvegur 5, 400 Ísafjörður, ground floor of a single-story wooden house built in 1955. Main entrance is on the north side of the house, accessible by a short walkway from the street. No security features. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 66.0778° N, 23.1276° W. Nearest landmark: Ísafjörður Hospital.
2-year-old male, experiencing a seizure at home. Primary symptoms: generalized tonic-clonic seizure lasting approximately 2 minutes, followed by postictal drowsiness. Secondary symptoms: high fever (39.5°C), flushed skin. Patient is now drowsy but responsive to voice. Patient history: Recent upper respiratory infection, no prior seizures. No known allergies. Medications: Paracetamol 120mg syrup given 30 minutes prior. Last meal was a light snack at 18:00. The child is in his bedroom.
Timeline: 1900 hours: Child became fussy and warm to the touch 1915 hours: Paracetamol syrup administered by mother 1930 hours: Child began to shake and stiffen, lasting approximately 2 minutes 1932 hours: Seizure stopped, child now drowsy 1935 hours: Mother called emergency services Prior Events: Child has had a mild cold for the past 3 days, with a runny nose and cough. No other significant medical history. Immunizations up to date. No history of head trauma. The child has been sleeping more than usual today.
Initial Impression: Febrile Seizure Justification for F3 Classification: - Generalized tonic-clonic seizure in a febrile child, likely a febrile seizure - Seizure has resolved spontaneously; the child is now drowsy but responsive. - No immediate life-threatening signs reported. - Requires medical evaluation to rule out other causes and manage fever. Differential Diagnoses: 1. Febrile Seizure (most likely) 2. Meningitis/Encephalitis (less likely, no reported stiff neck, headache or rash) 3. Epilepsy (less likely, no prior history of seizures) 4. Hypoglycemia (less likely, no history of diabetes or altered diet) Required Actions: - Dispatch of ground EMS with BLS capabilities. - Assessment of airway, breathing, and circulation. - Temperature management. - Transport to hospital for evaluation and observation.