Heiðarvegur 14, 900 Vestmannaeyjar, single-story detached house built in 1985. Main entrance faces the street. No stairs at entrance. Parking on street. House has a small garden in front. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 63.4415° N, 20.2753° W. Nearest landmark: Vestmannaeyjar Golf Club.
5-year-old male, experiencing a seizure. Primary symptoms: Generalized tonic-clonic seizure lasting approximately 3 minutes, now postictal, unresponsive but breathing. Secondary symptoms: Pale skin, mild fever reported by mother. Patient has no known history of seizures. Patient is at home in his bedroom. Medical history: No known allergies, no regular medications, had a mild cold three days ago. Last meal was dinner at 18:00.
Timeline: 2015 hours: Child was playing in his room 2020 hours: Child began experiencing a seizure, described as full body shaking and stiffening 2023 hours: Seizure stopped, child now unresponsive but breathing 2024 hours: Mother called emergency services 2025 hours: Current time, child still unresponsive Prior Events: Child had a mild cold three days ago, otherwise healthy. No recent falls or injuries. No known family history of seizures. Last medical check-up was 6 months ago, routine well-child visit.
Initial Impression: Postictal state following generalized seizure Justification for F3 Classification: - Seizure activity has ceased, child is now postictal but breathing - Not immediately life-threatening, but requires medical evaluation to determine cause and rule out serious conditions - Standard response time is appropriate given current stability Differential Diagnoses: 1. Febrile Seizure (most likely given age and reported fever) 2. Idiopathic Epilepsy (possible, but first seizure) 3. Central Nervous System Infection (less likely, no other signs of infection) 4. Electrolyte Imbalance (less likely, no history of dehydration or vomiting) 5. Head Trauma (less likely, no reported trauma) Required Actions: - Dispatch of ground EMS with BLS capabilities - Assessment of airway, breathing, and circulation - Transport to nearest hospital for evaluation and treatment