Aðalstræti 23, 465 Bíldudalur. A two-story wooden house, built in 1955. Main entrance on the street side, no elevator. One main stairwell. Street parking available. No security system. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6785° N, 23.5321° W. Nearest landmark: Bíldudalur Church.
45-year-old male, experiencing acute psychotic episode. Primary symptoms: Agitation, paranoia, auditory hallucinations. Secondary symptoms: Increased heart rate, sweating, disorganized speech. Patient pacing and shouting. Patient has history of schizophrenia. Medications: Risperidone 4mg daily, but not taken for last 3 days. No known allergies. Last meal was a sandwich at 14:00.
Timeline: 1800 hours: Patient started exhibiting increased agitation and restlessness. 1830 hours: Patient began shouting and exhibiting paranoid behavior. 1900 hours: Patient reports hearing voices and became increasingly agitated. 1915 hours: Caller, patient's sister, called emergency services. 1920 hours: Current time, patient still agitated, pacing, and shouting. Prior Events: Patient diagnosed with schizophrenia 10 years ago. Generally compliant with medication but has had occasional episodes when medication is missed. Last mental health check-up 2 months ago, routine follow-up. Lives alone, but sister lives nearby and visits regularly.
Initial Impression: Acute Psychotic Episode Justification for F3 Classification: - Patient exhibiting signs of psychosis (agitation, paranoia, hallucinations) - Condition is time-sensitive but not immediately life-threatening - Patient requires medical evaluation and intervention but is not in immediate physical danger Differential Diagnoses: 1. Acute Psychotic Episode (high probability) 2. Substance-Induced Psychosis (less likely, no known substance abuse) 3. Bipolar Disorder, Manic Episode (less likely, history of schizophrenia) 4. Medical Condition (less likely, no recent illness or injury) Required Actions: - Dispatch of ground EMS with BLS capabilities - Ensure scene safety for responders - Consider need for police assistance if patient becomes violent - Preparation for transport to nearest psychiatric facility