Hafnarbraut 12, 780 Höfn, second floor apartment 2B. A three-story concrete apartment building built in 1985. Main entrance is accessible via a coded door. There is a stairwell but no elevator. Street parking is available. The building is equipped with a basic fire alarm system. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 64.2525° N, 15.2083° W. Nearest landmark: Höfn Harbour.
35-year-old female, exhibiting acute psychotic symptoms. Primary symptoms: Agitation, paranoia, disorganized speech, auditory hallucinations. Secondary symptoms: Restlessness, pacing, refusing to engage in conversation. Patient is known to have a history of bipolar disorder. No reported physical injuries. Patient is inside her apartment, alone. Medical history: Bipolar disorder type 1, previous hospitalizations for manic episodes. Medications: Lithium 400mg twice daily, Quetiapine 200mg at night. No known allergies. Last meal was a small snack at 14:00.
Timeline: 1600 hours: Patient started exhibiting increased agitation and restlessness. 1630 hours: Patient began speaking incoherently, expressing paranoid thoughts and reporting hearing voices. 1700 hours: Patient refused to engage in conversation and began pacing erratically. 1715 hours: Patient's sister called emergency services after not being able to calm her down. 1720 hours: Current time, patient remains agitated and uncooperative. Prior Events: Patient has had several manic episodes in the past, requiring hospitalization. She has been stable on her current medication regimen for the past six months. No recent changes in medication or life events reported. Last mental health check-up was two weeks ago, routine follow-up.
Initial Impression: Acute Psychotic Episode Justification for F3 Classification: - Patient exhibiting signs of acute psychosis, including agitation, paranoia, and hallucinations - Condition is time-sensitive and requires psychiatric evaluation and management - No immediate life-threatening risk, but potential for escalation if untreated Differential Diagnoses: 1. Manic Episode (most likely given history) 2. Psychotic Disorder NOS (not otherwise specified) 3. Substance-Induced Psychosis (less likely given no recent substance use reported) 4. Acute Stress Reaction (less likely given history of bipolar disorder) Required Actions: - Dispatch of ground EMS with appropriate psychiatric support - Assessment of patient's safety and risk of harm to self or others - De-escalation techniques and medication administration if necessary - Preparation for transport to the nearest psychiatric facility