Emergency Scenario 465_f4_1

Location Information

Hafnargata 12, 465 Bíldudalur, second floor of the health clinic. Two-story wooden building, built in 1960. Main entrance with ramp access. No elevator, stairs to the second floor. Street parking available. Building has a basic fire alarm system. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.7315° N, 23.5456° W. Nearest landmark: Bíldudalur Harbor.

Emergency Details

72-year-old female, post-operative day 2 following an elective total hip replacement at Ísafjörður Hospital. Patient is stable with no active complications. Transfer required to Bíldudalur health clinic for continued rehabilitation and recovery. Patient reports mild pain at surgical site, controlled with oral analgesics. No fever, nausea, or other concerning symptoms. Patient is alert and oriented. Transfer is requested by the surgical team to free up hospital bed.

History of Events

Timeline:
Day 0: Patient underwent elective total hip replacement at Ísafjörður Hospital.
Day 1: Patient recovered well post-surgery, started physical therapy.
Day 2 (current): Patient is stable, pain controlled, ready for transfer to Bíldudalur health clinic. No complications reported. 

Prior Events: Patient has a history of osteoarthritis and hypertension, well-managed with medication. No history of previous hip surgery. No known allergies. Last meal was a light lunch at 12:00. Medications: Paracetamol 1000mg every 6 hours, Amlodipine 5mg daily, Enalapril 10mg daily. Patient has been ambulatory with assistance and has tolerated light meals well. No recent infections or illnesses. Last medical check-up was pre-operative assessment.

Diagnostics

Initial Assessment

Initial Impression: Stable Post-Operative Patient for Transfer
Justification for F4 Classification:
- Patient is stable with no acute medical concerns
- Transfer is routine and non-urgent, for rehabilitation and recovery
- Post-operative period is uncomplicated
- Patient is pain-controlled and medically stable

Differential Diagnoses:
1. Post-Operative Pain (well-controlled)
2. Post-Operative Infection (unlikely based on assessment)
3. Deep Vein Thrombosis (low probability, no signs)
4. Pulmonary Embolism (low probability, no signs)

Required Actions:
- Scheduled transport to Bíldudalur health clinic
- Patient comfort and pain management during transfer
- Monitoring of vital signs during transport
- Documentation of transfer details

Final Diagnosis

Final Diagnosis: Stable Post-Operative Total Hip Replacement
Key Findings:
- Patient's vital signs remained stable throughout transfer
- Surgical site showed no signs of infection or complications
- Pain was well-controlled with oral analgesics
- Patient tolerated transfer without incident

Outcome validated F4 priority assignment. Routine transfer with no complications. Patient admitted to Bíldudalur health clinic for continued rehabilitation.

Learning Points:
1. F4 classification appropriate due to the stable and non-urgent nature of the transfer
2. Detailed medical history and assessment ensured a safe and uneventful transfer
3. Pre-transfer communication with both sending and receiving facilities was essential for smooth coordination.

Emergency Call Transcript