Hafnarstræti 96, 600 Akureyri, second floor, apartment 202. Three-story mixed-use building with commercial units on the ground floor and residential above, constructed in 1965. Main entrance is street-level, with an intercom system. Stairwell access only, no elevator. Street parking available. Building has a basic fire alarm system. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6811° N, 18.0933° W. Nearest landmark: Akureyri Art Museum.
35-year-old male, exhibiting acute psychotic symptoms. Primary symptoms: Agitation, disorganized speech, paranoia, auditory hallucinations, pacing, and refusing to cooperate with family. Secondary symptoms: Mild sweating, increased heart rate, no reported physical injury. Patient is known to have a history of schizophrenia and has not taken his medication for the past week. Patient is currently in his apartment, family is present but unable to calm him down. No weapons visible.
Timeline: 1400 hours: Patient became increasingly agitated, pacing around the apartment 1415 hours: Patient started speaking incoherently, expressing paranoid delusions 1420 hours: Patient began reporting hearing voices, refusing to engage in conversation 1430 hours: Family attempted to calm him down, but were unsuccessful 1435 hours: Family contacted emergency services 1438 hours: Current time, patient still agitated, pacing, and exhibiting psychotic symptoms Prior Events: Patient diagnosed with schizophrenia 5 years ago, has been compliant with medication previously, but stopped taking medication one week ago. No recent hospitalizations for psychiatric reasons. No recent substance abuse. Last psychiatric appointment was 2 months ago, routine follow-up. Patient lives with his parents. No history of violence.
Initial Impression: Acute Psychotic Episode secondary to medication non-compliance. Justification for F3 Classification: - Non-life-threatening, but requires timely intervention to prevent escalation - Patient is exhibiting clear signs of psychosis, posing a potential risk to himself and others - Requires psychiatric assessment and potential stabilization Differential Diagnoses: 1. Acute Psychotic Episode (high probability) 2. Substance-induced Psychosis (less likely given history) 3. Acute Mania (less likely given symptoms) 4. Organic Brain Disorder (less likely given history) Required Actions: - Dispatch of ground EMS with psychiatric training - De-escalation techniques - Safe transport to nearest psychiatric facility - Possible need for chemical restraint if necessary