Aðalstræti 42, 465 Bíldudalur. Single-story wooden residential building, built in 1965. Main entrance at street level, no stairs. Parking available on street. No security features, accessible to public. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 65.7285° N, 23.5397° W. Nearest landmark: Bíldudalur harbor.
45-year-old female, exhibiting acute agitation and paranoia. Patient reports feeling watched and threatened. Secondary symptoms: Increased heart rate, sweating, and rapid speech. Patient is pacing inside her home. History of diagnosed bipolar disorder, not currently compliant with medication. No known allergies. Last meal was at 19:00, a light dinner. Patient is alone at home.
Timeline: 2100 hours: Patient began to feel increasingly anxious and paranoid, believing she was being watched. 2115 hours: Patient started pacing and talking to herself, expressing fear of unknown entities. 2125 hours: Patient contacted her sister (the caller), exhibiting increased agitation and rapid speech. 2130 hours: Current time, sister calls emergency services. Patient remains agitated and paranoid, pacing inside her home. Prior Events: Patient has a history of bipolar disorder, diagnosed 5 years ago. Has had several previous episodes of mania and paranoia. Patient has been non-compliant with medication for the past 3 months. Last medical check-up was 6 months ago, a routine visit. Patient lives alone and has limited social support.
Initial Impression: Acute Psychotic Episode secondary to Bipolar Disorder Justification for F3 Classification: - Patient is exhibiting acute symptoms of a psychiatric emergency, including paranoia and agitation. - While not immediately life-threatening, the situation requires timely intervention to prevent escalation and ensure patient safety. - Patient's history of bipolar disorder and medication non-compliance increases the likelihood of a severe episode. Differential Diagnoses: 1. Acute Psychotic Episode (most likely) 2. Substance-Induced Psychosis (less likely, no known history of substance abuse) 3. Anxiety Disorder with Panic Attack (less likely, given paranoia) 4. Medical Condition Causing Altered Mental Status (less likely, no other symptoms) Required Actions: - Dispatch of ground EMS with basic life support capabilities. - Communication with mental health services for consultation. - Safety precautions for responders, given patient's agitation and potential for unpredictable behavior. - Assessment of patient's environment for potential hazards or self-harm risks.