Emergency Scenario 780_f3

Location Information

Full Location:

Hafnarbraut 2, 780 Höfn, first floor of a single-story healthcare clinic. Concrete structure built in 2005. Main entrance is accessible via ramp. No security features. Parking lot directly in front of the building. Current conditions: 8°C, overcast, light wind. GPS coordinates: 64.2522° N, 15.2091° W. Nearest landmark: Höfn Harbour.

Municipality: Höfn

Postal Code: 780

Emergency Details

Type: Infectious Disease Transfer

Priority Level: F3

Response Time Goal: Standard (30-60 minutes)

Description:

45-year-old male, known case of Methicillin-resistant Staphylococcus aureus (MRSA) infection, requires transfer from Höfn clinic to Egilsstaðir Hospital for specialized treatment. Patient is stable, afebrile, and on intravenous antibiotics. Primary symptoms: localized skin infection on left leg, no systemic symptoms currently. Patient is alert and cooperative. Patient is currently in isolation room at the clinic. Medical history: Type 2 diabetes, MRSA infection diagnosed 1 week ago, no known allergies. Medications: Vancomycin 1g IV q12h, Metformin 1000mg BID. Last meal was a light lunch at 12:00.

History of Events

Timeline:
1 week ago: Patient developed a skin infection on his left leg. Initial treatment at home with oral antibiotics was ineffective.
3 days ago: Patient was admitted to Höfn clinic, MRSA confirmed. IV antibiotics initiated.
Today: Patient is stable but requires specialized treatment not available at Höfn clinic. Transfer to Egilsstaðir Hospital is arranged.

Prior Events: Patient was diagnosed with type 2 diabetes 5 years ago. No recent illnesses or injuries other than current MRSA infection. Last medical check-up 2 weeks ago for diabetes follow-up. Patient lives alone.

Diagnostics

Initial Assessment

Initial Impression: Stable MRSA Infection for Transfer
Justification for F3 Classification:
- Patient is stable, no acute symptoms, transfer is for specialized treatment
- No immediate life-threatening condition
- Time-sensitive but non-urgent transfer

Differential Diagnoses:
1. MRSA Infection (confirmed)
2. Cellulitis (ruled out, confirmed MRSA)
3. Diabetic foot ulcer (secondary to infection)

Required Actions:
- Arrange non-emergency ground transport with infection control precautions
- Ensure continuation of IV antibiotics during transport
- Monitor patient's vital signs during transport
- Notify receiving hospital of patient's condition and estimated arrival time

Final Diagnosis

Final Diagnosis: Stable MRSA Infection for Transfer
Key Findings:
- Patient's condition remained stable throughout the transfer.
- No changes in vital signs or symptoms during transport.
- Infection site showed no signs of deterioration.

Outcome validated F3 priority assignment. Patient was successfully transferred to Egilsstaðir Hospital for further management.

Learning Points:
1. F3 classification appropriate due to the non-urgent nature of the transfer
2. Initial assessment accurately identified the need for transfer
3. Communication between the transferring and receiving facilities was crucial for patient safety

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Jón Einarsson from the Höfn clinic. We need a transfer for a patient with MRSA.

Dispatcher Okay, can you provide the patient's details and location?

Caller Patient's name is Jón Einarsson, kennitala ******-****. He's at Hafnarbraut 2, 780 Höfn, first floor clinic.

Dispatcher And what is the reason for the transfer?

Caller He has a confirmed MRSA infection and needs to be transferred to Egilsstaðir Hospital for specialized treatment. He's currently stable.

Dispatcher Is he experiencing any acute symptoms?

Caller No, he's stable, afebrile, and on IV antibiotics. Just the localized skin infection on his left leg.

Dispatcher Okay, I am arranging a non-emergency transfer. Please ensure he has all necessary documentation and medications for the transport.

Caller Yes, we will. Thank you.