Hafnarstræti 18, 600 Akureyri, second floor apartment 2B. Three-story wooden residential building constructed in 1955. Main entrance requires key or intercom. One narrow stairwell, no elevator. Street parking available. Building has basic fire alarm system. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.6838° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
2-year-old male child experiencing a seizure. Primary symptoms: Generalized tonic-clonic seizure lasting approximately 2 minutes, now postictal with drowsiness and confusion. Secondary symptoms: Elevated temperature (39.2°C), recent history of upper respiratory infection. Patient is pale and slightly cyanotic around the lips. Patient lying on his side on the living room floor. Medical history: No known allergies, no regular medications. Recent history of mild fever and cough for 2 days. Last oral intake was milk approximately 1 hour ago.
Timeline: 10:00 hours: Child was playing normally, then became fussy. 10:15 hours: Child started crying, mother noted fever. 10:20 hours: Child began to shake and stiffen, followed by rhythmic jerking of limbs. Seizure lasted about 2 minutes. 10:22 hours: Seizure ceased, child is now drowsy and unresponsive to verbal stimuli but responds to pain. Child has slight cyanosis around lips. 10:25 hours: Mother called emergency services. Prior Events: Child has had one previous febrile seizure at age 18 months. No other significant medical history. No recent travel or exposure to unusual illnesses. Child is up to date with routine vaccinations.
Initial Impression: Febrile Seizure, Postictal State Justification for F3 Classification: - Seizure has resolved, child is postictal but responsive to pain. - Elevated temperature and history of upper respiratory infection suggest a febrile cause. - No current respiratory distress or signs of ongoing seizure activity. - Time-sensitive condition requiring medical evaluation but not immediately life-threatening. Differential Diagnoses: 1. Febrile Seizure (most likely) 2. Epilepsy (less likely given history and age) 3. Meningitis (lower probability, no signs of neck stiffness or photophobia) 4. Hypoglycemia (less likely, no history of diabetes or feeding issues) Required Actions: - Dispatch of ground EMS with BLS capabilities - Assessment of airway, breathing, and circulation - Monitoring of vital signs and neurological status - Transport to nearest hospital for evaluation and management of underlying fever