Hafnarstræti 91, 600 Akureyri, third floor apartment 3B. A three-story wooden residential building constructed in 1955. Main entrance requires a code, 1234. Stairwell access only. Street parking available. No fire alarm system. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6823° N, 18.0915° W. Nearest landmark: Akureyri Art Museum.
35-year-old male, exhibiting acute psychotic symptoms. Primary symptoms: Agitation, paranoia, disorganized speech, visual hallucinations. Patient reports feeling like he is being watched and that people are trying to harm him. Secondary symptoms: Restlessness, pacing, elevated heart rate, but no apparent physical injuries. Patient is currently in his apartment, alone. Medical history: Diagnosed with schizophrenia 5 years ago, non-compliant with medication for the past 3 months. No known allergies. Medications: Previously prescribed Risperidone 4mg daily, but has not been taking it. Last meal was a sandwich at 13:00.
Timeline: 1400 hours: Patient started exhibiting increased agitation and restlessness. 1430 hours: Patient reports feeling paranoid and began pacing. 1500 hours: Patient started experiencing visual hallucinations, reporting seeing shadows and hearing voices. 1515 hours: Patient called his brother (caller) in a distressed state. 1520 hours: Brother arrived and called emergency services. 1525 hours: Current time, patient is agitated, pacing, and exhibiting disorganized speech. Prior Events: Patient has had previous psychotic episodes, all managed with medication. He has been non-compliant with his medication for the past 3 months, which his brother suspects is the cause of this episode. No recent physical injuries or illnesses reported.
Initial Impression: Acute Psychotic Episode Justification for F3 Classification: - Patient is exhibiting signs of an acute psychotic episode with agitation, paranoia, and hallucinations. - While not immediately life-threatening, the patient's condition requires prompt medical attention to prevent escalation and ensure his safety and the safety of others. - F3 is appropriate as the situation requires a timely response but does not present immediate life-threatening risk. Differential Diagnoses: 1. Acute Psychotic Episode due to medication non-compliance (high probability) 2. Substance-induced psychosis (less likely, no reported substance use) 3. Acute stress reaction (less likely given chronic history) 4. Medical condition causing altered mental status (less likely, no other symptoms) Required Actions: - Dispatch of ground EMS with psychiatric support if available. - Ensure scene safety for responders. - De-escalation techniques if necessary. - Transport to the nearest psychiatric facility for evaluation and treatment.