Emergency Scenario 400_f4

Location Information

Full Location:

Hraunbraut 2, 400 Ísafjörður. Single-story building, concrete construction, built in 1995. Main entrance is at ground level with a small ramp. Parking is available in front of the building. The building houses the local oncology clinic. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 66.0757° N, 23.1343° 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:

72-year-old female, oncology patient, scheduled for transfer to Landspítali University Hospital in Reykjavik for planned chemotherapy. Patient is stable, ambulatory, and requires no immediate medical intervention. Medical history: Stage III ovarian cancer, diagnosed 6 months ago, currently undergoing palliative chemotherapy. Patient is on oral pain medication and antiemetics. No acute symptoms or changes in condition reported. Transfer is for routine chemotherapy session.

History of Events

Timeline:
0900 hours: Patient completed routine morning medication administration at home.
0930 hours: Patient arrived at the Ísafjörður oncology clinic for pre-transfer assessment.
1000 hours: Pre-transfer assessment completed by oncology nurse. Patient stable, vitals within normal limits.
1015 hours: Transfer request initiated by oncology nurse. Patient awaiting transport.

Prior Events: Patient has been undergoing palliative chemotherapy for the past 6 months. No recent hospitalizations or acute complications. Patient has a history of controlled hypertension and type 2 diabetes. Last chemotherapy session was 3 weeks ago. Last medical check-up was yesterday, routine follow-up.

Diagnostics

Initial Assessment

Initial Impression: Stable Oncology Patient Transfer
Justification for F4 Classification:
- Patient is stable, no acute symptoms or medical distress.
- Transfer is for scheduled treatment, not an emergency.
- No immediate medical intervention is required during transport.

Differential Diagnoses:
1. Stable Oncology Patient (primary and most likely)
2. Potential for symptom exacerbation during transport (low probability)
3. Potential medication side effects (low probability)

Required Actions:
- Arrange non-emergency medical transport for transfer to Reykjavik.
- Ensure patient's medications are packed for transport.
- Monitor patient's condition during transfer.
- Provide patient with comfort and support during transport.

Final Diagnosis

Final Diagnosis: Stable Oncology Patient for Scheduled Chemotherapy
Key Findings:
- Patient remained stable throughout the transfer process.
- No changes in vital signs or symptoms were noted.
- Patient arrived at Landspítali University Hospital without incident.

Outcome validated F4 priority assignment. Routine transfer was successfully completed without complications.

Learning Points:
1. F4 classification appropriate for stable patients requiring routine transfers.
2. Thorough pre-transfer assessment is crucial for identifying potential risks.
3. Coordination between sending and receiving facilities is essential for safe patient transport.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Guðrún from the oncology clinic in Ísafjörður. We need to arrange a routine patient transfer to Reykjavik.

Dispatcher Okay, can you provide me with the patient's details?

Caller The patient's name is Sigríður Ólafsdóttir, kennitala is ******-****. She is 72 years old and needs to go to Landspítali for chemotherapy.

Dispatcher Is she stable for transport?

Caller Yes, she is stable. She has Stage III ovarian cancer and is on palliative chemo. No acute issues. She's waiting here at the clinic, Hraunbraut 2.

Dispatcher Okay, this is a routine transfer, so I'll assign it as F4. We'll get a transport arranged within the next 1-4 hours.

Caller That's perfect, thank you. We have all her medications and paperwork ready.

Dispatcher Great. We will contact you when the transport is en route. Is there anything else?

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