Emergency Scenario 400_f4

Location Information

Full Location:

Hraun 2, 400 Ísafjörður, ground floor apartment. Two-story wooden residential building constructed in 1965. Main entrance with a ramp. Street parking available. Building has basic fire safety equipment. Current conditions: 8°C, cloudy, good visibility. GPS coordinates: 66.0723° N, 23.1281° 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:

75-year-old female, oncology patient needing routine transfer from home to Ísafjörður Hospital for scheduled chemotherapy. Patient is stable, alert, and oriented. Primary symptom: General fatigue related to ongoing cancer treatment. No acute distress. Patient is ambulatory with assistance. Medical history: Stage III ovarian cancer diagnosed 6 months ago, history of hypertension and hypothyroidism. Medications: Carboplatin 450mg IV every 3 weeks, Paclitaxel 175mg IV every 3 weeks, Levothyroxine 100mcg daily, Amlodipine 5mg daily. No known allergies. Last meal was a light lunch at 12:00.

History of Events

Timeline:
1300 hours: Patient completed lunch and prepared for scheduled transfer
1315 hours: Patient contacted hospital for confirmation of transfer
1320 hours: Hospital requested ambulance transfer due to patient's fatigue and scheduled treatment
1325 hours: Current time, patient is awaiting transport

Prior Events: Patient has been undergoing chemotherapy for 6 months, experiencing expected side effects of fatigue and nausea. No recent changes in condition. Last medical check-up was 1 week ago, routine follow-up. Patient lives alone but has family support nearby.

Diagnostics

Initial Assessment

Initial Impression: Routine Oncology Patient Transfer
Justification for F4 Classification:
- Patient is stable and not in acute distress
- Transfer is for a scheduled medical procedure, not an emergency
- No immediate life threats or time-sensitive interventions required

Differential Diagnoses:
1. Expected side effects of chemotherapy (fatigue, nausea)
2. Dehydration (low probability, patient is hydrated)
3. Infection (low probability, no fever or signs of infection)

Required Actions:
- Dispatch of BLS ambulance for routine transfer
- Ensure patient comfort and safety during transport
- Confirm hospital bed availability and treatment schedule
- Coordinate with oncology department at Ísafjörður Hospital

Final Diagnosis

Final Diagnosis: Routine Oncology Patient Transfer for Scheduled Chemotherapy
Key Findings:
- Patient's vital signs were stable throughout the transfer
- Patient reported mild fatigue but no new symptoms
- No complications arose during transport

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

Learning Points:
1. F4 classification appropriate for routine, scheduled transfers of stable patients
2. Initial assessment accurately identified the non-emergent nature of the transfer
3. Coordination with the hospital ensured seamless transfer and treatment process

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Hello, this is Guðrún Jónsdóttir. I'm scheduled for chemotherapy at Ísafjörður Hospital today, and they said an ambulance would pick me up.

Dispatcher Okay, can you confirm your address and name?

Caller Yes, it's Hraun 2, ground floor apartment, Ísafjörður. My name is Guðrún Jónsdóttir, kennitala is ******-****.

Dispatcher Thank you. Can you tell me why you need an ambulance today?

Caller I'm quite tired from the cancer treatment. The hospital thought it best if I didn't drive myself.

Dispatcher Okay, I understand. Are you experiencing any other symptoms?

Caller Just the usual fatigue, nothing else new. I had a light lunch around noon.

Dispatcher Okay, an ambulance will be dispatched for a routine transfer. Please stay at home and wait for them.

Caller Thank you very much. I will wait here.