Emergency Scenario 600_f3

Location Information

Full Location:

Hlíðarvegur 14, 600 Akureyri, single-story residential house. Built in 1965, wood frame construction. Main entrance via front door, no security features. Driveway access available. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.6758° N, 18.0859° W. Nearest landmark: Glerártorg shopping center.

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 for medical evaluation. Primary symptoms: General weakness and fatigue, recent onset. Patient is stable but requires transport to Akureyri Hospital for further testing. Patient is alert, oriented, and cooperative. No acute distress noted. Medical history: Type 2 diabetes, hypertension, and mild COPD. Medications: Metformin 500mg twice daily, Lisinopril 10mg daily, Salbutamol inhaler as needed. No known allergies. Last meal was lunch at 13:00.

History of Events

Timeline:
0800 hours: Patient woke up feeling unusually weak and tired.
1000 hours: Patient contacted his primary care physician who recommended further evaluation at the hospital.
1300 hours: Patient ate a light lunch.
1400 hours: Patient contacted emergency services for transport to the hospital.

Prior Events: Patient has been managing his chronic conditions well with regular check-ups. No recent hospitalizations or major health events. Patient lives alone and is generally independent. Has been experiencing increased fatigue over the past week. No recent changes in medications.

Diagnostics

Initial Assessment

Initial Impression: Medical Evaluation Transfer - General Weakness and Fatigue
Justification for F3 Classification:
- Patient is stable and not in acute distress.
- Condition is time-sensitive but not immediately life-threatening.
- Transfer is for further evaluation and not for emergency treatment.

Differential Diagnoses:
1. Exacerbation of chronic conditions (diabetes, COPD)
2. Infection (less likely, no fever or other signs of infection reported)
3. Medication side effects (unlikely, no recent changes)
4. Dehydration (possible, given general weakness)

Required Actions:
- Dispatch of ground EMS for non-emergency transport
- Patient comfort during transport
- Safe and timely delivery to Akureyri Hospital

Final Diagnosis

Final Diagnosis: Medical Evaluation - Exacerbation of Type 2 Diabetes with Mild Dehydration
Key Findings:
- Blood glucose levels were elevated at 250 mg/dL upon arrival at the hospital
- Patient showed signs of mild dehydration
- No evidence of infection or other acute issues

Outcome validated F3 priority assignment. Transfer was completed without incident. Patient was treated for hyperglycemia and dehydration and stabilized.

Learning Points:
1. F3 classification was appropriate given the patient's stable condition and need for evaluation, not emergency intervention.
2. Initial assessment accurately identified the need for further evaluation.
3. Prompt transfer ensured timely treatment and prevented further complications

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Hello, I need transport to the hospital. My doctor wants me to get checked out.

Dispatcher Okay, what is your address?

Caller It's Hlíðarvegur 14 in Akureyri.

Dispatcher And what seems to be the problem?

Caller I've been feeling very weak and tired all day. My doctor said I should go to the hospital for tests.

Dispatcher Are you in any pain or distress?

Caller No, I'm not in pain, just very weak and tired. I am able to walk around, but not much.

Dispatcher Do you have any medical conditions?

Caller Yes, I have type 2 diabetes, high blood pressure, and some COPD.

Dispatcher Okay, an ambulance is being dispatched for a non-emergency transfer. Please remain calm and wait for them.

Caller Alright, thank you. I'll wait here.