Pages: 122-126
Authors: Barbara Bukor and Lilla Ungváry
A 30 year old Hungarian gentleman without any relevant past medical history started his carrier as a professional pilot at the age 27. He has a Swedish flight licence but works for a Hungarian company. With 2700 flying hours he works not only as a first officer, but also as a trainer at the airline. During the past years he worked hard, had some stress at the job that caused fatigue and frequent headaches.
He went to a restaurant and had a seafood dinner and the next morning he woke up with nausea, dizziness, light headedness, severe bitemporal headache and had several times diarrhoea and vomiting.
His spouse called the ambulance because of his general condition and slurred speech. Slurred speech is a “red flag” for the ambulance dispatch, so the closest ambulance team was directed to him to transfer the patient urgently to the nearest stroke centre in Budapest, Hungary. During the transport, he received metamizole to reduce the headache. The 30 year old male was referred by the ambulance team as a thrombolysis candidate stroke patient, so as they arrived at the ED (Emergency Department), the assessment and examinations were started immediately.