Miðgarður 17, 700 Egilsstaðir, single-story detached house. Constructed in 1990. Main entrance via front door with a small porch. No security system. Gravel driveway. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 65.2678° N, 14.3947° W. Nearest landmark: Egilsstaðir Swimming Pool.
3-year-old male child, experiencing a seizure. Primary symptoms: Generalized tonic-clonic seizure lasting approximately 2 minutes, now post-ictal. Secondary symptoms: Fever (39.1°C measured by mother), lethargy, slightly pale. Child is responsive to voice but drowsy. Medical history: History of febrile seizures with previous episodes, no known allergies. Medications: Paracetamol (120mg) given orally by mother 30 minutes prior to seizure onset. Last meal: Lunch at 12:00. No other recent illnesses or injuries.
Timeline: 13:00 hours: Child began to feel warm, mother measured temperature 38.5°C 13:15 hours: Mother administered 120mg of paracetamol orally 13:30 hours: Child experienced a generalized tonic-clonic seizure lasting approximately 2 minutes 13:32 hours: Seizure ceased spontaneously, child is now post-ictal and drowsy 13:35 hours: Mother called emergency services Prior Events: Child had two previous episodes of febrile seizures, both resolved spontaneously. Last medical check-up was 6 months ago, routine vaccinations. Child has no known chronic illnesses.
Initial Impression: Febrile Seizure, Post-ictal State Justification for F3 Classification: - Child experienced a febrile seizure which resolved spontaneously - Child is now post-ictal, but responsive and breathing normally - History of febrile seizures suggests a recurrent but generally non-life-threatening condition - Time-sensitive for monitoring and assessment, but not requiring immediate intervention Differential Diagnoses: 1. Febrile Seizure (most likely) 2. Simple Partial Seizure (less likely given generalized presentation) 3. Meningitis (less likely given no other signs of meningeal irritation) 4. Hypoglycemia (less likely given normal behavior prior to fever) Required Actions: - Dispatch of ground EMS with basic life support capabilities - Assessment of child's post-ictal state, vital signs, and level of consciousness - Observation for any signs of deterioration - Transport to hospital for pediatric assessment if necessary