Emergency Scenario 700_f3

Location Information

Full Location:

Miðgarður 1, 700 Egilsstaðir. Single-story detached house, built in 1985, with a wooden frame and a concrete foundation. Main entrance on the south side, no secondary exits. No security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2631° N, 14.3945° W. Nearest landmark: Egilsstaðir Airport.

Municipality: Egilsstaðir

Postal Code: 700

Emergency Details

Type: Medical Evaluation Transfer

Priority Level: F3

Response Time Goal: Standard (30-60 minutes)

Description:

75-year-old male, needs transfer from home to Egilsstaðir Health Center for routine medical evaluation. Patient is stable but requires assistance with mobility. Primary complaint is general weakness and mild shortness of breath. Patient is wheelchair-bound. Medical history includes COPD and mild heart failure. Medications: Salbutamol inhaler PRN, Furosemide 20mg daily, Ramipril 5mg daily, Atorvastatin 10mg daily. No known allergies. Last meal was a light lunch at 12:00.

History of Events

Timeline:
1300 hours: Patient reports feeling weaker than usual, mild shortness of breath
1315 hours: Patient's son calls the Health Center for a medical evaluation appointment
1330 hours: Health Center requests ambulance transfer to facilitate evaluation
1345 hours: Current time, patient is stable but requires transport

Prior Events: Patient has been managing COPD and heart failure at home. No recent exacerbations of his conditions. Regular follow-up appointments at the Health Center. Last medical check-up 2 weeks ago, routine visit. Patient lives with his son who assists with his daily needs.

Diagnostics

Initial Assessment

Initial Impression: Routine Medical Evaluation Transfer
Justification for F3 Classification:
- Patient is stable, no acute life-threatening symptoms
- Transfer required for scheduled medical evaluation
- Standard response time is appropriate for this situation

Differential Diagnoses:
1. Stable COPD and heart failure (most likely)
2. Mild exacerbation of COPD or heart failure (less likely but needs assessment)
3. Dehydration (possible, given reported weakness)
4. Medication side effect (possible, requires review)

Required Actions:
- Dispatch of ground ambulance for routine transfer
- Ensure patient is comfortable during transport
- Monitor vital signs during transport
- Provide assistance with mobility

Final Diagnosis

Final Diagnosis: Stable COPD and Heart Failure, No Acute Exacerbation
Key Findings:
- Full medical evaluation at the Health Center showed no acute changes in patient's condition
- Blood tests and ECG were within normal limits for his chronic conditions
- Patient's symptoms were consistent with his baseline COPD and heart failure

Outcome validated F3 priority assignment. The transfer was conducted safely and efficiently. Patient was assessed by the physician and returned home later the same day. No changes to medication were required.

Learning Points:
1. F3 classification was appropriate for this routine transfer
2. Initial assessment accurately identified the need for a non-urgent transfer
3. No unexpected findings during evaluation, highlighting the importance of routine follow-up for chronic conditions

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Hello, this is Hjálmar Þórisson, my father needs a transfer to the health center for an evaluation.

Dispatcher Okay, I understand. What is your father's address?

Caller It's Miðgarður 1, in Egilsstaðir.

Dispatcher Okay, and what is his condition?

Caller He's feeling weaker than usual and a bit short of breath. He uses a wheelchair.

Dispatcher Does he have any medical conditions?

Caller Yes, he has COPD and heart failure. He takes medication for both.

Dispatcher Okay, and is he stable at the moment?

Caller Yes, he is stable, but he needs help to get to the health center.

Dispatcher Alright, I'm dispatching an ambulance for a routine transfer. They will be there within the standard response time. Stay with him and keep him comfortable.

Caller Okay, thank you for your help. We'll wait here.