Hafnargata 23, 465 Bíldudalur, single-story wooden house built in 1955. Main entrance on the street side, no secondary exits. No security features. Current conditions: 8°C, overcast, light wind. GPS coordinates: 65.6814° N, 23.5356° W. Nearest landmark: Bíldudalur harbor.
45-year-old female, experiencing acute onset of severe anxiety and paranoia. Primary symptoms: Agitation, pacing, expressing fear of being watched, auditory hallucinations. Secondary symptoms: Rapid heart rate, sweating, trembling. Patient is verbally responsive but disorganized. No apparent physical injuries. Patient is at home. Medical history: Diagnosed with anxiety disorder 5 years ago, no recent changes in medication. Medications: Sertraline 100mg daily, Lorazepam 1mg as needed. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient reported feeling increasingly anxious and restless 1415 hours: Patient started experiencing auditory hallucinations, reported hearing voices 1420 hours: Patient became increasingly paranoid, began pacing and expressing fear of being watched 1425 hours: Patient called her sister, Guðrún, for help 1430 hours: Guðrún arrived, called emergency services 1432 hours: Current time, patient still agitated and paranoid Prior Events: Patient reports a recent increase in work-related stress. Last psychiatric appointment was 3 months ago, routine follow-up. Patient lives alone, but sister lives nearby.
Initial Impression: Acute Anxiety Episode with Possible Psychotic Features Justification for F3 Classification: - Patient is experiencing significant psychological distress but is not an immediate danger to herself or others - Time-sensitive condition requiring psychiatric evaluation and management - Symptoms include anxiety, paranoia, and possible hallucinations, warranting a standard response time Differential Diagnoses: 1. Acute Anxiety Episode (high probability) 2. Panic Attack (less likely due to duration and paranoia) 3. Psychotic Disorder (possible, needs further evaluation) 4. Substance-Induced Psychosis (unlikely, no reported substance use) Required Actions: - Dispatch of ground EMS with basic life support capabilities - Assessment of mental status and safety - Possible need for psychiatric consultation or transport to psychiatric facility