Hafnargata 18, 735 Norðfjörður, second floor apartment 201. A three-story wooden residential building constructed in 1965. Main entrance is accessible via a single door with a standard lock. No elevator, access via central staircase. Limited street parking available. Building equipped with smoke detectors. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 65.2078° N, 13.9845° W. Nearest landmark: Norðfjörður Harbour.
45-year-old male, exhibiting acute psychotic symptoms. Primary symptoms: Agitation, paranoia, auditory hallucinations, incoherent speech, patient believes he is being watched by the government. Secondary symptoms: Mild sweating, increased heart rate, but no obvious signs of physical distress. Patient is pacing around his apartment. Medical history: Diagnosed with paranoid schizophrenia 10 years ago, non-compliant with medication for the past 3 months. Medications: Previously on Risperidone 4mg daily, currently not taking any medication. No known allergies. Last meal was a sandwich at 13:00.
Timeline: 1400 hours: Patient began exhibiting signs of agitation and paranoia. 1415 hours: Patient became increasingly delusional, reporting auditory hallucinations and feelings of being watched. 1430 hours: Patient's sister, Guðrún Jónsdóttir, arrived at the apartment after receiving a concerning call from the patient. She found him pacing and speaking incoherently. 1445 hours: Guðrún called emergency services. 1447 hours: Current time, patient still agitated and delusional. Prior Events: Patient has had several previous psychotic episodes, all related to medication non-compliance. Last psychiatric follow-up appointment was 6 months ago. Patient lives alone, but his sister checks on him regularly.
Initial Impression: Acute Psychotic Episode secondary to medication non-compliance. Justification for F3 Classification: - Patient is experiencing an acute psychiatric episode, but not an immediate threat to life or safety. - Symptoms include agitation, paranoia, and hallucinations, requiring medical evaluation and intervention. - Time-sensitive but not immediately life-threatening; therefore, F3 is appropriate. Differential Diagnoses: 1. Acute Psychotic Episode (most likely) 2. Substance-Induced Psychosis (less likely, no known history of substance abuse) 3. Bipolar Disorder, manic episode (less likely, history of schizophrenia) 4. Acute Delirium (less likely, no indication of underlying medical condition) Required Actions: - Dispatch of ground EMS with psychiatric assessment capabilities. - Assessment of patient's mental status and risk of harm to self or others. - Possible pharmacological intervention for acute agitation. - Transport to the nearest psychiatric facility for further evaluation and treatment.