Emergency Scenario 780_f3

Location Information

Full Location:

Hafnarbraut 12, 780 Höfn, ground floor apartment. Two-story wooden residential building constructed in 1955. Main entrance with no security features. Street parking available. No fire alarm system. Current conditions: 8°C, cloudy, good visibility. GPS coordinates: 64.2517° N, 15.2097° W. Nearest landmark: Höfn Harbor.

Municipality: Höfn

Postal Code: 780

Emergency Details

Type: Medical Evaluation Transfer

Priority Level: F3

Response Time Goal: Standard (30-60 minutes)

Description:

75-year-old male, requires transfer from home to Health Clinic for scheduled medical evaluation. Patient is stable but has limited mobility due to chronic back pain. Patient is alert and oriented. Primary symptom: Chronic lower back pain, rated 5/10 on pain scale. Secondary symptoms: Mild shortness of breath on exertion. Patient is seated in a chair. Medical history: Chronic back pain, COPD, benign prostatic hyperplasia. Medications: Oxycodone 5mg PRN, Salbutamol inhaler PRN, Tamsulosin 0.4mg daily. Allergies: Penicillin. Last meal: light lunch at 12:00.

History of Events

Timeline:
1200 hours: Patient had lunch.
1300 hours: Patient is resting in his chair, experiencing usual chronic back pain and mild shortness of breath with exertion.
1315 hours: Patient's son called for scheduled transport to the clinic.
1320 hours: Current time, patient is stable and awaiting transport.

Prior Events: Patient has been managing his chronic back pain and COPD at home. Recent medical check-up 1 week ago, routine follow-up. Scheduled follow-up appointment at the health clinic for evaluation.

Diagnostics

Initial Assessment

Initial Impression: Scheduled Medical Evaluation Transfer, Stable Patient.
Justification for F3 Classification:
- Patient is stable with chronic conditions, not requiring immediate medical intervention.
- Transfer is for a scheduled medical evaluation, not an acute emergency.
- Response time is within standard guidelines (30-60 minutes).

Differential Diagnoses:
1. Exacerbation of COPD (low probability, patient is stable)
2. Worsening of chronic back pain (low probability, pain is consistent)
3. Medication side effects (low probability, patient has been on medications long term)
4. Urinary retention (low probability, no acute symptoms)

Required Actions:
- Dispatch of BLS ambulance for non-emergency transport.
- Monitor patient's condition during transport.
- Ensure patient comfort during transfer.
- Transfer to health clinic for scheduled evaluation.

Final Diagnosis

Final Diagnosis: Chronic Back Pain, Stable COPD
Key Findings:
- Patient's condition remains stable throughout transport.
- No new symptoms or complications developed.
- Evaluation at the clinic confirmed stable chronic back pain and COPD.

Outcome validated F3 priority assignment. Routine transfer was completed without complications.

Learning Points:
1. F3 classification appropriate for scheduled medical evaluation transfers.
2. Patient assessment confirmed stability and lack of acute issues.
3. Proper communication between caller and dispatcher ensured smooth transfer.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Hello, this is Jón Einarsson, calling for my father. He needs a ride to his appointment at the health clinic.

Dispatcher Okay, can you provide your address and your father's name?

Caller Yes, it's Hafnarbraut 12 in Höfn. His name is Einar Jónsson.

Dispatcher Is this a medical emergency or a scheduled transfer?

Caller It's a scheduled transfer. He has chronic back pain and has some shortness of breath, but it's normal for him. He needs to go to the clinic for a check up.

Dispatcher Okay, is he stable and able to sit up?

Caller Yes, he's sitting in his chair. He is a bit slow moving but is stable.

Dispatcher Okay, we'll arrange for a transport. It should be within the next hour. Please keep him comfortable and wait for the ambulance.

Caller Thank you, we will wait here.