Hafnarnesvegur 15, 735 Norðfjörður. Single-story wooden house built in 1965. Main entrance on the south side. No security features. Street parking available. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 65.2056° N, 13.9964° W. Nearest landmark: Norðfjörður harbor.
2-year-old male, experiencing a seizure. Primary symptoms: Generalized tonic-clonic seizure activity, high fever. Secondary symptoms: Post-ictal drowsiness. Patient is pale and flushed. Patient is currently lying on his side on the living room floor. Medical history: No known allergies. No regular medications. Recent upper respiratory infection with fever for 2 days. Last meal was a small portion of mashed potatoes and fish at 18:00. No prior history of seizures.
Timeline: 1900 hours: Patient was playing quietly in the living room. 1910 hours: Patient became suddenly unresponsive and began to shake. 1912 hours: Seizure activity continues. Caller places child on his side. 1914 hours: Seizure stops. Patient is drowsy and unresponsive. Caller dials emergency services. 1916 hours: Current time, patient is drowsy but breathing. Caller is awaiting instructions. Prior Events: Patient had a fever of 39.2°C earlier today, managed with paracetamol. No recent falls or injuries. No recent changes in diet or activity. No history of travel.
Initial Impression: Febrile Seizure Justification for F3 Classification: - Seizure activity has ceased, patient is now post-ictal and drowsy - Patient has a history of fever, likely etiology for seizure - No evidence of life-threatening condition at present, but requires medical evaluation - Time-sensitive condition due to the age of the patient and potential for recurrence Differential Diagnoses: 1. Febrile Seizure (most likely) 2. Epilepsy (less likely given no prior history) 3. Meningitis (lower probability, no reported stiff neck or other signs) 4. Hypoglycemia (lower probability, no known history of diabetes) Required Actions: - Dispatch of ground EMS with basic life support (BLS) capabilities - Assessment of vital signs and neurological status - Monitoring for recurrence of seizure activity - Transport to nearest hospital for evaluation