Emergency Scenario 400_f4

Location Information

Full Location:

Hraunbraut 2, 400 Ísafjörður, first floor of the hospital. Single-story concrete building built in 1975. Main entrance with automatic doors. No security features. Street parking available. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 66.0745° N, 23.1277° 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, known oncology patient, scheduled for transfer from Ísafjörður Hospital to Landspítali in Reykjavik for a follow-up appointment and further treatment planning. Patient is stable, afebrile, and hemodynamically normal. Primary condition: Stage IV breast cancer with bone metastases. Patient is ambulatory and requires no immediate medical intervention during transport. She has a PICC line in place. Patient is fully alert and cooperative.

History of Events

Timeline:
1000 hours: Patient completed morning medication administration.
1030 hours: Patient had a light breakfast, tolerated well.
1100 hours: Patient was assessed by the oncology team, deemed stable for transfer.
1130 hours: Transfer request initiated.

Prior Events: Patient was diagnosed with breast cancer 3 years ago, has been receiving ongoing treatment. She has a history of hypertension, managed with medication. She had a recent PET scan showing stable bone metastases. She is currently on oral chemotherapy and pain medication. Patient has been hospitalized in Ísafjörður for the past 3 days for observation.

Diagnostics

Initial Assessment

Initial Impression: Stable Oncology Patient for Routine Transfer
Justification for F4 Classification:
- Patient is stable, with no acute medical issues
- Transfer is for a scheduled appointment and further treatment planning
- No time-critical elements requiring immediate intervention
- Patient is ambulatory and requires no special transport needs

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

Required Actions:
- Arrangement for a non-emergency medical transport service
- Ensure patient comfort and safety during transport
- Communication with receiving hospital about patient's condition and transfer details

Final Diagnosis

Final Diagnosis: Stable Oncology Patient for Routine Transfer
Key Findings:
- Patient remained stable throughout the transfer
- All vital signs remained within normal limits
- PICC line remained patent, no complications during transport
- Receiving hospital confirmed patient's arrival and accepted transfer

Outcome validated F4 priority assignment. Patient was safely transferred with no adverse events. The transfer was completed within the designated timeframe.

Learning Points:
1. F4 classification appropriate due to the non-emergent nature of the transfer
2. Pre-transfer assessment accurately identified the patient's stability
3. Proper communication and coordination ensured a smooth and uneventful transfer

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Guðrún Jónsdóttir from Ísafjörður Hospital. We need to arrange a transfer for a patient.

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

Caller The patient is Guðrún Jónsdóttir, kennitala ******-****. She is an oncology patient and needs to be transferred to Landspítali in Reykjavik for a follow-up appointment and treatment planning.

Dispatcher Okay, is the patient stable?

Caller Yes, she is stable. She's ambulatory and has a PICC line. She is not in any distress.

Dispatcher Does she need any special medical attention during the transfer?

Caller No, she doesn't. It's a routine transfer. We just need transport arranged.

Dispatcher Okay, I will arrange for a non-emergency transport. We will contact you with the details.

Caller Thank you, that would be great.