Hafnarstræti 18, 600 Akureyri, second floor apartment 2B. Three-story older wooden building with a shared entrance. Building constructed in 1930. One main entrance with a key code required after 18:00. No elevator, access via a single narrow staircase. Street parking available. Building has a basic fire alarm system. Current conditions: 7°C, overcast, light wind, moderate visibility. GPS coordinates: 65.6823° N, 18.0885° W. Nearest landmark: Akureyri Art Museum.
35-year-old male, experiencing acute anxiety and paranoia. Primary symptoms: Agitation, pacing, rambling speech, expressing delusions of being watched. Secondary symptoms: Increased heart rate, sweating, hyperventilation. Patient reports feeling unsafe and believes he is in danger. Patient is alone in his apartment. Medical history: Diagnosed with Generalized Anxiety Disorder 5 years ago, currently not taking prescribed medications. No known allergies. Last meal was a sandwich at 14:00. No known substance abuse history.
Timeline: 1700 hours: Patient began feeling increasingly anxious and restless. 1715 hours: Patient started experiencing paranoid thoughts and delusions. 1730 hours: Patient became agitated, began pacing and talking incoherently. 1745 hours: Patient called a friend, who then called emergency services. 1750 hours: Current time, patient remains agitated and paranoid. Prior Events: Patient has had similar episodes in the past, usually resolved with medication and therapy. Last episode was 6 months ago. Patient recently experienced job loss, which may have contributed to increased stress. Patient has a history of non-compliance with prescribed medication regimen. No recent medical check-ups.
Initial Impression: Acute Anxiety Episode with Paranoid Delusions. Justification for F3 Classification: - Patient is experiencing a significant psychiatric event but is not currently posing an immediate threat to himself or others. - Time-sensitive condition requiring psychiatric evaluation but not a life-threatening emergency. - Patient is not reporting suicidal ideation or violent tendencies. Differential Diagnoses: 1. Acute Anxiety Episode with Psychotic Features (most likely) 2. Substance-Induced Psychosis (less likely given history) 3. Bipolar Disorder with Acute Mania (less likely given history) 4. Schizophrenia (less likely given history) Required Actions: - Dispatch of ground EMS with BLS capabilities. - Assessment of patient's mental state and risk of harm. - Transportation to the nearest psychiatric unit for evaluation. - Avoidance of any confrontational or triggering actions.