68-year-old female at her home — daughter called 911. Mother "can't talk right and her face looks droopy." Onset approximately 45 minutes ago. Patient has a history of hypertension and atrial fibrillation. Patient is conscious. Exact symptoms unknown. Daughter is on scene.
Patient
68F
Chief Complaint
AMS / Neuro
Onset
~45 min ago
Priority
Code 3
⚡ TIME CRITICAL — This is a time-sensitive neurological emergency. Symptom onset was approximately 45 minutes ago. Your job: assess systematically, identify the cause, and act decisively. Every minute counts.
⏱ Scene time graded generously — reading time not penalized. Stroke patients need rapid transport, but you must take time to read and think clearly.
Vitals — Live
WORKING DIAGNOSIS
UNKNOWN — ASSESS
Last known well time confirmed
Facial droop identified
Arm drift identified
Speech deficit identified
Risk factors: Afib / HTN
00:00
SCENE TIME
Reading time not penalized
⚡ Neurological call — act fast
HEART RATE (bpm)
92
▲ Tachycardia
SpO2 (%)
94
✓ Acceptable
RESP RATE (/min)
16
— Normal
BLOOD PRESSURE
198/112
▲ SEVERE HYPERTENSION
NEURO SCREEN (must assess)
FaceNOT ASSESSED
ArmsNOT ASSESSED
SpeechNOT ASSESSED
Onset TimeUNKNOWN
Score
Safety0
Assessment0
Protocol0
Time100
PATIENT STATUS
ALTERED — ASSESS NOW
┌────────────────────────────────────────┐
│ RESIDENTIAL HOME — LIVING ROOM │
│ Patient seated in recliner │
│ Right side of face drooping │
│ Daughter standing nearby, panicked │
│ Medications visible on end table │
└────────────────────────────────────────┘