Emergency Scenario 600_f3

Location Information

Full Location:

Hlíðarvegur 14, 600 Akureyri. Single-story detached house built in 1965, accessed via front door with two steps. Driveway parking available. No security features. Current conditions: 7°C, clear skies, good visibility. GPS coordinates: 65.6758° N, 18.0992° W. Nearest landmark: Akureyri Botanical Garden.

Municipality: Akureyri

Postal Code: 600

Emergency Details

Type: Medical Evaluation Transfer

Priority Level: F3

Response Time Goal: Standard (30-60 minutes)

Description:

72-year-old male, scheduled transfer from home to Akureyri Hospital for routine cardiac evaluation. Patient is stable but requires assistance with ambulation. Primary symptoms: Mild shortness of breath on exertion, chronic fatigue. Secondary symptoms: Occasional chest discomfort, managed with medication. Patient is alert, oriented, and cooperative. Patient sitting in a chair in his living room. Medical history: History of stable angina, hypertension, and type 2 diabetes. Medications: Metoprolol 50mg BID, Amlodipine 10mg daily, Metformin 500mg BID, Atorvastatin 20mg daily. No known allergies. Last meal was a light lunch at 13:00.

History of Events

Timeline:
1400 hours: Patient finished lunch
1415 hours: Patient felt slightly more tired than usual, no new symptoms
1430 hours: Patient called for scheduled transport to hospital for cardiac evaluation
1445 hours: Current time, patient is stable and awaiting transport

Prior Events: Patient has been managing his conditions with medication and lifestyle changes. He has regular follow-up appointments with his cardiologist. Last cardiac check-up was 3 months ago, routine follow-up. Patient lives alone and has home care support twice a week.

Diagnostics

Initial Assessment

Initial Impression: Scheduled Medical Transfer for Cardiac Evaluation
Justification for F3 Classification:
- Stable patient with chronic conditions requiring a scheduled transfer
- No acute symptoms or life-threatening conditions reported
- Time-sensitive but not urgent, standard response time is appropriate

Differential Diagnoses:
1. Stable Angina (known condition, managed with medication)
2. Hypertension (known condition, managed with medication)
3. Type 2 Diabetes (known condition, managed with medication)
4. Chronic Fatigue (known symptom, stable)

Required Actions:
- Dispatch of non-emergency transport with BLS capabilities
- Ensure patient is comfortable during transport
- Transport to Akureyri Hospital for scheduled cardiac evaluation

Final Diagnosis

Final Diagnosis: Scheduled Medical Transfer for Cardiac Evaluation, No Acute Changes
Key Findings:
- Patient's vital signs were stable upon arrival and during transport
- No new symptoms or changes in condition were observed
- Scheduled cardiac evaluation proceeded as planned

Outcome validated F3 priority assignment. Routine transport was appropriate and patient arrived safely for his appointment.

Learning Points:
1. F3 classification appropriate for scheduled transfers of stable patients
2. Dispatch assessment accurately identified the non-urgent nature of the transport
3. Pre-scheduled transfers allow for efficient resource allocation and planning

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Good afternoon, this is Jónas Einarsson. I'm calling to confirm my transport to the hospital for my cardiac check-up.

Dispatcher Okay, Mr. Einarsson, can you confirm your address?

Caller Yes, it's Hlíðarvegur 14, 600 Akureyri.

Dispatcher And your date of birth?

Caller 15th of April, 1958.

Dispatcher Okay, I see your scheduled transfer. Can you tell me how you are feeling today?

Caller I'm feeling alright, just a bit tired as usual. No new chest pain or anything like that.

Dispatcher Do you need any assistance getting to the ambulance?

Caller Yes, please, I would appreciate some help with the steps outside. My legs aren't what they used to be.

Dispatcher Okay, the transport will be there within the next hour. Please stay comfortable and we'll see you soon.

Caller Thank you very much.