Emergency Scenario 400_f4

Location Information

Full Location:

Hólavegur 14, 400 Ísafjörður, second floor of the rehabilitation center. Two-story concrete building constructed in 1995. Main entrance is accessible via ramp. Elevator available for access to the second floor. Parking available in front of the building. Building equipped with fire alarm system. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 66.0734° N, 23.1306° W. Nearest landmark: Ísafjörður Hospital.

Municipality: Ísafjörður

Postal Code: 400

Emergency Details

Type: Rehabilitation Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

76-year-old male, post-stroke rehabilitation patient. Patient requires transfer from Ísafjörður rehabilitation center to his home in Bolungarvík. Patient is stable, with no acute medical issues. Requires assistance with mobility and activities of daily living. Patient is wheelchair-bound. Medical history: Ischemic stroke 3 months ago, hypertension, type 2 diabetes. Medications: Aspirin 75mg daily, Metformin 500mg twice daily, Lisinopril 10mg daily. No known allergies. Last meal was lunch at 12:00.

History of Events

Timeline:
1300 hours: Patient completed scheduled physiotherapy session
1315 hours: Patient is stable, waiting for transfer
1330 hours: Transfer request initiated by rehabilitation staff
1345 hours: Current time, patient ready for transport

Prior Events: Patient admitted for rehabilitation 6 weeks ago following a stroke. Patient has shown steady improvement in mobility and cognitive function, but remains wheelchair-bound. Last medical check-up 2 days ago, routine assessment. Patient lives with his daughter, who is prepared for his return. No recent changes in medication or health status.

Diagnostics

Initial Assessment

Initial Impression: Stable Post-Stroke Rehabilitation Transfer
Justification for F4 Classification:
- Patient is medically stable and requires routine transfer to a non-acute setting
- No acute medical issues or need for immediate medical intervention
- Transfer is pre-planned and coordinated with receiving facility (home)

Differential Diagnoses:
1. Stable Post-Stroke Status (primary diagnosis)
2. No acute complications
3. Routine transfer, no immediate medical concerns

Required Actions:
- Dispatch of non-emergency transport with appropriate equipment for wheelchair transport
- Ensure patient's comfort and safety during transfer
- Transfer patient to his residence in Bolungarvík

Final Diagnosis

Final Diagnosis: Stable Post-Stroke Rehabilitation Transfer
Key Findings:
- Patient's vital signs are within normal limits and consistent with his medical history
- No new symptoms or changes in health status
- Transfer completed without incident

Outcome validated F4 priority assignment. Routine transfer was appropriate and completed as planned.

Learning Points:
1. F4 classification appropriate for stable, non-acute transfers
2. Pre-planning and coordination are key for routine transfers
3. No acute issues or complications arose during transfer

Emergency Call Transcript

Dispatcher Emergency services, this is the dispatch center. What is your emergency?

Caller Hello, this is Guðrún from the Ísafjörður rehabilitation center. We need to arrange a routine transfer for a patient.

Dispatcher Okay, please provide the patient's information and the details of the transfer.

Caller The patient's name is Jón Einarsson, kennitala is ******-****. He is ready for transfer to his home in Bolungarvík. He is wheelchair-bound but stable.

Dispatcher Understood. What is his current medical condition and any specific needs for the transport?

Caller He is stable, post-stroke rehabilitation patient. He requires assistance with mobility and is wheelchair-bound. He has no acute medical issues and is ready for discharge.

Dispatcher Okay, I am assigning this as a routine transfer. We will arrange for non-emergency transport within the next 1-4 hours. Is there anything else?

Caller No, that's all. Thank you for your help.

Dispatcher You're welcome. We will be in contact soon to confirm the transport time.