Hlíðarvegur 17, 600 Akureyri, ground floor apartment 1B. Three-story wooden residential building built in 1955. Main entrance has a simple lock. No elevator, access via a short flight of steps. Street parking available. Building has basic smoke detectors. Current conditions: 7°C, clear skies, good visibility. GPS coordinates: 65.6852° N, 18.0887° W. Nearest landmark: Akureyri Botanical Garden.
78-year-old male, requires transfer from home to Akureyri Health Center for scheduled medical evaluation. Patient is stable but has limited mobility due to recent knee surgery. Primary symptoms: Mild discomfort in surgical knee, otherwise stable. Secondary symptoms: None. Patient is alert and oriented. Patient is in his living room, seated in a recliner. Medical history: Recent total knee replacement surgery 2 weeks ago, hypertension, type 2 diabetes. Medications: Oxycodone 5mg PRN for pain, Metformin 500mg BID, Amlodipine 5mg daily. Known allergy to sulfa drugs. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient had light lunch 1430 hours: Patient took his prescribed medications 1500 hours: Patient contacted his son, Jónas, requesting transport assistance to medical appointment 1515 hours: Jónas contacted emergency services to arrange non-emergency medical transport 1520 hours: Current time, patient is stable and awaiting transport Prior Events: Patient underwent a total knee replacement 2 weeks ago. Post-operative recovery has been uneventful. Patient has had regular follow-up appointments with his surgeon. No recent illnesses or injuries. Patient has been managing his diabetes well with diet and medication. Last medical check-up 1 week ago, post-op check-up.
Initial Impression: Post-Operative Transfer for Medical Evaluation Justification for F3 Classification: - Patient is stable, with no acute symptoms or signs of distress. - Transfer is for a scheduled medical evaluation, not an emergency. - Response time goal is within 30-60 minutes, allowing for efficient resource allocation. Differential Diagnoses: 1. Post-operative pain (mild, well-controlled) 2. Potential for post-operative infection (low probability, no signs of infection) 3. Complications from diabetes (unlikely given stable condition) 4. Medication side effects (unlikely, patient is stable on current regimen) Required Actions: - Dispatch of non-emergency medical transport unit - Ensure patient comfort and safety during transport - Communicate patient’s medical history to receiving facility - Transfer patient to Akureyri Health Center for evaluation