Emergency Scenario 600_f3_25

Location Information

Hlíðarvegur 4, 600 Akureyri, second floor, apartment 203. A three-story residential building, built in 1990, with concrete construction. Main entrance has an electronic lock and a key is required. There is an elevator and a central stairwell. Parking is available in the front of the building. The building has a fire alarm system. Current conditions: 7°C, overcast, light wind, good visibility. GPS coordinates: 65.6768° N, 18.0954° W. Nearest landmark: Akureyri Hospital.

Emergency Details

72-year-old male, needs transfer from home to Akureyri Hospital for scheduled medical evaluation. Patient has a history of stable COPD and type 2 diabetes. He reports feeling slightly weaker than usual today. No acute distress, vital signs stable. Patient is mobile with assistance. Requires oxygen therapy at 2L/min via nasal cannula. Patient is awaiting a follow-up appointment with a pulmonologist at the hospital.

History of Events

Timeline:
0800 hours: Patient woke up, felt slightly weaker than usual
0900 hours: Patient took his morning medications and ate a light breakfast
1000 hours: Patient contacted his family to arrange transport to the hospital for his scheduled appointment
1030 hours: Patient's son contacted dispatch for a medical transfer due to lack of transportation and the patient's medical condition
1035 hours: Current time, patient is resting at home, awaiting transfer

Prior Events: Patient has had stable COPD for 10 years, managed with inhalers and home oxygen. Type 2 diabetes diagnosed 5 years ago, managed with oral medication. No recent hospitalizations or acute exacerbations. Last medical check-up 2 weeks ago, routine follow-up. Patient lives with his wife, who is also elderly and unable to provide transportation.

Diagnostics

Initial Assessment

Initial Impression: Stable COPD and Type 2 Diabetes, Requiring Scheduled Medical Transfer
Justification for F3 Classification:
- Patient has chronic stable conditions, no acute distress
- Transfer is for a scheduled medical evaluation, not an emergency
- Patient is mobile with assistance, vital signs stable
- Time-sensitive but not life-threatening condition

Differential Diagnoses:
1. Stable COPD (primary diagnosis)
2. Stable Type 2 Diabetes (primary diagnosis)
3. Deconditioning (secondary consideration due to reported weakness)
4. Medication side effects (low probability)

Required Actions:
- Dispatch of non-emergency transport unit
- Oxygen therapy during transport
- Transport to Akureyri Hospital for scheduled appointment

Final Diagnosis

Final Diagnosis: Stable COPD and Type 2 Diabetes, Scheduled Medical Transfer
Key Findings:
- Patient's condition was stable during transport
- Medical evaluation at the hospital confirmed no acute changes
- Patient's scheduled appointment was completed

Outcome validated F3 priority assignment. Transfer was uneventful and patient received the necessary medical evaluation. No changes in treatment plan were required.

Learning Points:
1. F3 classification appropriate for scheduled medical transfers with stable chronic conditions
2. Initial assessment accurately reflected the patient's condition
3. Effective communication and coordination ensured a smooth transfer

Emergency Call Transcript