Emergency Scenario 700_f3

Location Information

Full Location:

Miðgarður 15, 700 Egilsstaðir, ground floor apartment 1B. A two-story residential building built in 1995. Main entrance has a standard door with a key lock. No elevator, access via a small ramp. Street parking available. Building equipped with basic fire safety measures. Current conditions: 8°C, cloudy, good visibility. GPS coordinates: 65.2635° N, 14.3921° W. Nearest landmark: Egilsstaðir Swimming Pool.

Municipality: Egilsstaðir

Postal Code: 700

Emergency Details

Type: Medical Evaluation Transfer

Priority Level: F3

Response Time Goal: Standard (30-60 minutes)

Description:

78-year-old male, requires transfer from home to Egilsstaðir Health Center for routine medical evaluation. Patient is stable but has difficulty ambulating due to recent fall. Primary symptom: Generalized weakness and mild dizziness. Secondary symptom: Mild pain in left shoulder. Patient is alert and oriented. Medical history: Type 2 diabetes, hypertension, and a recent fall 3 days ago with no fractures. Medications: Metformin 500mg twice daily, Lisinopril 10mg daily, Paracetamol 500mg as needed. No known allergies. Last meal was lunch at 13:00. Patient is currently seated in his living room.

History of Events

Timeline:
1400 hours: Patient experienced increased weakness and dizziness.
1415 hours: Patient contacted his family for assistance.
1420 hours: Family member arrived and assessed patient's condition.
1425 hours: Family member contacted emergency services for transfer request.
1430 hours: Current time, patient is stable, awaiting transfer.

Prior Events: Patient had a fall 3 days ago, but was cleared of fractures at local clinic. He has a history of type 2 diabetes and hypertension, managed with medications. Patient reports increased weakness and dizziness over the past 24 hours. Last medical check-up was 2 weeks ago, routine follow-up.

Diagnostics

Initial Assessment

Initial Impression: Routine Medical Evaluation Transfer
Justification for F3 Classification:
- Patient is stable, no acute life-threatening symptoms present.
- Transfer is required for medical evaluation of ongoing weakness and dizziness.
- Condition is not immediately urgent but requires timely assessment.

Differential Diagnoses:
1. Dehydration (possible, given reported weakness)
2. Medication side effects (possible, related to Metformin or Lisinopril)
3. Postural hypotension (possible, related to dizziness)
4. Unspecified medical condition requiring further evaluation (most likely)

Required Actions:
- Dispatch of ground EMS for non-emergency transfer.
- Monitoring of vital signs during transfer.
- Transport to Egilsstaðir Health Center for medical evaluation.

Final Diagnosis

Final Diagnosis: Postural Hypotension and Mild Dehydration
Key Findings:
- Blood pressure reading upon arrival at health center showed orthostatic hypotension (drop in blood pressure upon standing).
- Mild dehydration was noted upon physical examination.
- Blood work revealed slightly elevated blood glucose, but within manageable range.
- No other significant medical issues identified.

Outcome validated F3 priority assignment. Transfer was completed without incident. Patient received intravenous fluids and medication adjustments to manage hypotension. Patient was discharged home with follow-up appointment.

Learning Points:
1. F3 classification was appropriate for a stable patient requiring non-urgent transfer.
2. Initial assessment correctly identified the need for medical evaluation.
3. Patient's symptoms were related to postural hypotension and mild dehydration, not a more serious condition.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Hello, my father needs a transfer to the health center. He is feeling very weak and dizzy.

Dispatcher Okay, I'm noting that. What is your address?

Caller It's Miðgarður 15, apartment 1B, ground floor in Egilsstaðir.

Dispatcher And what happened? Can you tell me more about his condition?

Caller He's been feeling weaker than usual and has been quite dizzy. He had a fall a few days ago, but nothing was broken.

Dispatcher Is he awake and talking to you now?

Caller Yes, he is awake and talking. He's just very weak and has some pain in his left shoulder.

Dispatcher Does he have any medical conditions or take any medications?

Caller Yes, he has type 2 diabetes and high blood pressure. He takes metformin and lisinopril daily. He also takes paracetamol as needed.

Dispatcher Okay, the ambulance is being dispatched for a non-emergency transfer. Please stay with him and keep him calm. They will arrive soon.

Caller Alright, thank you. We will wait here.