Emergency Scenario 400_f4

Location Information

Full Location:

Hraunbíl 2, 400 Ísafiörður, Second floor of the medical clinic, room 204. Two-story concrete building, built in 1985. Main entrance is accessible via ramp. Elevator and stairs are available. Parking is available in front of the building. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 66.0745° N, 23.1223° W. Nearest landmark: Ísafiörður Hospital.

Municipality: Ísafiörður

Postal Code: 400

Emergency Details

Type: Oncology Patient Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

75-year-old female, known oncology patient, requires transfer from Ísafiörður medical clinic to Landspítali University Hospital in Reykjavík for scheduled chemotherapy. Patient is stable, ambulatory, and has no acute symptoms. Medical history: Stage 3 ovarian cancer, currently on palliative care. Medications: Morphine SR 30mg BID, Paracetamol 1000mg TID, Ondansetron 8mg PRN. Allergies: Penicillin. Last oral intake was a light lunch at 12:00. Patient is alert and oriented. Vital signs stable: RR 16, HR 78, BP 130/80, Temp 37.1°C, SpO2 97% on room air.

History of Events

Timeline:
1300 hours: Patient completed scheduled appointment at Ísafiörður medical clinic.
1315 hours: Medical staff determined patient is stable for transfer.
1330 hours: Transfer request initiated by oncology nurse.
1345 hours: Current time, patient is awaiting transport.

Prior Events: Patient diagnosed with ovarian cancer 1 year ago. Has undergone several chemotherapy cycles. Recent medical check-up 2 days ago, no new concerns identified. Patient has been managing pain with prescribed medications. Patient is fully mobile and independent with daily activities.

Diagnostics

Initial Assessment

Initial Impression: Stable Oncology Patient Transfer
Justification for F4 Classification:
- Patient is stable, ambulatory, and has no acute symptoms.
- Transfer is for scheduled chemotherapy, not an emergency.
- Response time goal is routine, within 1-4 hours.

Differential Diagnoses:
1. Stable Oncology Patient (primary diagnosis)
2. Potential for complications during transport (low probability given stability)

Required Actions:
- Arrange non-emergency transport to Landspítali University Hospital.
- Ensure patient's medication and medical records are transferred with patient.
- Monitor patient's condition during transport, provide comfort measures as needed.

Final Diagnosis

Final Diagnosis: Stable Oncology Patient Transfer
Key Findings:
- Patient remained stable throughout the transfer.
- Vital signs remained within normal limits.
- No new symptoms or complications occurred during transport.

Outcome validated F4 priority assignment. Transfer was completed without incident. Patient received chemotherapy as scheduled.

Learning Points:
1. F4 classification appropriate for stable, scheduled transfers.
2. Initial assessment accurately identified patient's stability and lack of urgency.
3. Proper planning and communication are essential for smooth transfers.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Þórunn from the Ísafiörður medical clinic. We need to arrange a routine transfer for an oncology patient.

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

Caller Yes, the patient is a 75-year-old female, Þórunn Jónsdóttir, kennitala ******-****. She has stage 3 ovarian cancer and is scheduled for chemotherapy in Reykjavík. She's currently stable and ambulatory.

Dispatcher Is she experiencing any pain or other symptoms?

Caller No, she's stable. She's on pain medication, but no acute symptoms. Her vital signs are normal. RR 16, HR 78, BP 130/80, Temp 37.1, SpO2 97% on room air.

Dispatcher What medications is she currently taking?

Caller She takes Morphine SR 30mg twice a day, Paracetamol 1000mg three times a day, and Ondansetron 8mg as needed. She is allergic to Penicillin.

Dispatcher Okay, I understand. This is a routine transfer. We will arrange transport for her to Landspítali. What is the address of your location?

Caller We are at Hraunbíl 2, 400 Ísafiörður, second floor of the medical clinic, room 204. She had a light lunch at 12:00.

Dispatcher Thank you, we will dispatch a transport team. Expect them within the next 1 to 4 hours. Please ensure her medical records and medications are ready for transfer.

Caller Understood. Thank you.