Emergency Scenario 400_f4

Location Information

Full Location:

Hraun, 400 Ísafjörður, 2nd floor of the oncology department at the hospital. The hospital is a 3-story concrete building, built in 1985. Main entrance is accessible by ramp. Elevators and stairwells available. Parking in front of the building. Weather is clear, 8°C, good visibility. GPS coordinates: 66.0768° N, 23.1360° W. Nearest landmark: Ísafjörður Hospital.

Municipality: Ísafjörður

Postal Code: 400

Emergency Details

Type: Oncology Patient Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

65-year-old female patient, currently admitted for cancer treatment, requires transfer to Reykjavík for specialized care. Patient is stable, conscious, and breathing normally. No acute symptoms reported. Transfer is planned for scheduled medical reasons. Patient is ambulatory with assistance, but needs stretcher transport for comfort. Patient is alert and cooperative. Medical history: Stage III ovarian cancer, hypertension. Medications: Carboplatin 450mg IV every 3 weeks, Paclitaxel 175mg IV every 3 weeks, Amlodipine 5mg daily, Metoprolol 50mg daily. Allergies: Penicillin. Last meal: Light lunch at 12:00.

History of Events

Timeline:
1300 hours: Patient finished her chemotherapy session. 
1315 hours: Medical team assessed patient's condition and determined she is stable for transfer.
1330 hours: Transfer request initiated by oncology department. 
1345 hours: Current time, patient is awaiting transfer in her hospital room.

Prior Events: Patient was admitted to Ísafjörður hospital 3 days ago for the current chemotherapy cycle. She has had 2 previous cycles of chemotherapy with good tolerance. No recent complications or adverse events reported. Patient has a history of hypertension, well-controlled with medication. She has been under regular monitoring during her stay.

Diagnostics

Initial Assessment

Initial Impression: Stable Oncology Patient for Routine Transfer
Justification for F4 Classification:
- Patient is stable, with no acute medical issues or life-threatening conditions
- Transfer is scheduled and non-urgent, for specialized care in Reykjavík
- Patient is conscious, breathing normally, and hemodynamically stable

Differential Diagnoses:
1. Stable Oncology Patient (primary diagnosis)
2. Potential for minor complications during transport (low probability, managed proactively)
3. Medication side effects (unlikely given stability and routine schedule)

Required Actions:
- Coordinate routine ambulance transfer to Reykjavík
- Ensure patient comfort and monitoring during transport
- Provide full medical handover to receiving hospital
- Confirm patient's medications and allergies are clearly documented

Final Diagnosis

Final Diagnosis: Stable Oncology Patient for Routine Transfer
Key Findings:
- Patient's condition remained stable throughout the transfer
- All vital signs were within normal limits during transport
- No unexpected complications or events occurred

Outcome validated F4 priority assignment. Transfer was completed smoothly without incident. Patient arrived at the receiving hospital in stable condition. 

Learning Points:
1. F4 classification was appropriate given the stable condition and routine nature of the transfer
2. Initial assessment accurately reflected the patient's condition and transfer requirements
3. Pre-planning and clear communication between hospitals ensured a smooth transfer

Emergency Call Transcript

Dispatcher Emergency services, this is the dispatch center, what is your request?

Caller Hello, this is Hildur from the oncology department at Ísafjörður hospital. We need a routine transfer for one of our patients.

Dispatcher Okay, can you provide me with the patient's details and the reason for the transfer?

Caller Yes, the patient is a 65-year-old female, Hildur Jónsdóttir, kennitala ******-****. She needs to be transferred to Reykjavík for specialized cancer treatment.

Dispatcher What is her current condition?

Caller She is stable, conscious, and breathing normally. She just finished her chemo session and the doctor approved her for transfer. She's ambulatory with assistance, but we'd like a stretcher for comfort.

Dispatcher Does she have any medical history or allergies I should be aware of?

Caller Yes, she has stage III ovarian cancer and hypertension. She's on carboplatin, paclitaxel, amlodipine, and metoprolol. She's allergic to penicillin.

Dispatcher Okay, and when did she last eat?

Caller She had a light lunch around 12:00.

Dispatcher Alright, I will arrange a routine transfer. We expect an ambulance to be there within the next 1 to 4 hours. Is there anything else?

Caller No, that's all. Thank you.

Dispatcher You're welcome, goodbye.