Emergency Scenario 700_f2

Location Information

Full Location:

Sólvellir 1, 700 Egilsstaðir. Single-story healthcare facility, built in 1990. Main entrance at the front of the building. No security features. Flat parking area with good road access. Current conditions: 8°C, overcast, light wind. GPS coordinates: 65.2653° N, 14.3923° W. Nearest landmark: Egilsstaðir Airport.

Municipality: Egilsstaðir

Postal Code: 700

Emergency Details

Type: Burn Patient Transfer

Priority Level: F2

Response Time Goal: Urgent (15-30 minutes)

Description:

Transfer of a 45-year-old male burn patient from Egilsstaðir Health Center to Landspítali National University Hospital in Reykjavík. Patient sustained partial thickness burns to 18% of his body, primarily on his back and left arm. The burns occurred approximately 6 hours ago. Patient is stable but requires specialized burn care. Patient is conscious and alert, reports moderate pain (5/10).

History of Events

Timeline:
1000 hours: Patient accidentally spilled hot cooking oil on himself, sustaining burns.
1010 hours: Patient arrived at Egilsstaðir Health Center.
1010-1600 hours: Initial wound care and pain management initiated at local health center. Patient has received IV fluids and analgesics. Burn assessment: Partial thickness burns, 18% BSA (back and left arm).
1600 hours: Current time. Transfer to Landspítali required for specialist burn care. Patient is hemodynamically stable, but requires continued monitoring and advanced burn care. Medical history: No significant medical history, no known allergies. Medications: Morphine 2mg IV prn for pain, IV fluids (Lactated Ringers) at 100ml/hr. Last meal was a light lunch at 1200 hours.

Diagnostics

Initial Assessment

Initial Impression: Partial Thickness Burns, 18% BSA, requiring transfer for specialized care.
Justification for F2 Classification:
- Burns are significant enough to require specialized burn center care. Although the patient is currently stable, the risk of infection and further complications warrants a timely transfer. The size of the burn and location increase risk.
- Time-sensitive for optimized burn care and to reduce potential complications. Transfer is not an immediate life-saving event but is necessary within a specific timeframe.
Differential Diagnoses:
1. Partial Thickness Burns, 18% BSA (Primary)
2. Risk of infection
3. Hypovolemia (currently controlled by IV fluids)
4. Potential for airway compromise (not currently present)
Required Actions:
- Secure patient transfer via air ambulance to Landspítali.
- Continue IV fluids and analgesia during transport.
- Ensure all patient documentation is complete and transferred with patient.

Final Diagnosis

Final Diagnosis: Confirmed Partial Thickness Burns, 18% BSA. No infection detected. Patient was successfully transferred to Landspítali. 
Key Findings:
- Initial assessment was accurate; no unexpected findings during transfer.
- Patient's condition remained stable throughout the transfer process.
- Burn wound care was maintained appropriately during transport.
Outcome validated F2 priority assignment. Rapid transfer to a specialized burn center was crucial for optimal care. Patient admitted for further treatment and monitoring.
Learning Points:
1. F2 classification was appropriate given the need for specialized burn care within a reasonable timeframe.
2. Initial assessment by local medical staff was accurate and detailed, facilitating a smooth transfer.
3. Good communication between local health center and dispatch ensured timely transport arrangements.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Hildur from Egilsstaðir Health Center. We need to arrange an urgent transfer for a burn patient.

Dispatcher Okay, can you provide details about the patient and the situation?

Caller Yes, we have a 45-year-old male who sustained partial thickness burns to 18% of his body, mainly his back and left arm. It happened about six hours ago.

Dispatcher Is the patient stable?

Caller Yes, he is stable, conscious and alert, but he needs to be transferred to Landspítali for specialized burn care. He's had IV fluids and morphine for pain.

Dispatcher What are his current vitals?

Caller His heart rate is 88, blood pressure is 125/78, and he is breathing comfortably at 16 breaths per minute. Oxygen saturation is 98% on room air.

Dispatcher Okay, we'll arrange for an air ambulance transfer. Stay with the patient and continue his current treatment. We will keep you updated.

Caller Thank you. We'll be waiting for the transport team.