Hafnarstræti 98, 600 Akureyri, third floor apartment 3B. Five-story reinforced concrete building constructed in 1995. Main entrance with key code access. One elevator and a central stairwell. Street parking available, often limited during peak hours. Building has a sprinkler system. Current conditions: 7°C, overcast, light wind. GPS coordinates: 65.6811° N, 18.0938° W. Nearest landmark: Akureyri Art Museum.
35-year-old male, exhibiting acute agitation and paranoia. Patient is pacing, yelling, and making threats of self-harm. Patient reports feeling 'watched' and 'controlled'. No known medical history of psychiatric conditions. Patient has been drinking alcohol and possibly using other substances. No known allergies. No medications reported. Last meal unknown, but possibly several hours ago. Patient is in his apartment, alone.
Timeline: 1400 hours: Patient started exhibiting signs of agitation and paranoia, pacing and talking to himself 1415 hours: Patient became more agitated, yelling and making threats of self-harm 1420 hours: Neighbor called emergency services after hearing loud noises and threats 1425 hours: Current time, patient is still agitated, pacing in apartment Prior Events: Patient has a history of occasional alcohol abuse, but no known psychiatric history. Patient has been under stress recently due to job loss and financial issues. Patient has been isolating himself from friends and family for the past few weeks. No recent medical contacts.
Initial Impression: Acute Agitation with Possible Psychosis Secondary to Substance Use Justification for F3 Classification: - Patient is exhibiting signs of acute agitation and paranoia, posing a risk to himself and potentially others - Condition requires assessment and intervention but is not immediately life-threatening - Time-sensitive due to risk of escalation but not requiring immediate response Differential Diagnoses: 1. Substance-Induced Psychotic Disorder (high probability) 2. Acute Psychotic Episode (less likely, no known history) 3. Bipolar Disorder (less likely, no known history) 4. Acute Intoxication (possible, alcohol use reported) 5. Anxiety Disorder (less likely given paranoia and threats) Required Actions: - Dispatch of ground EMS with mental health training - Scene safety assessment by responders - De-escalation techniques - Transport to nearest hospital with psychiatric services