Emergency Scenario 465_f4

Location Information

Full Location:

Hafnargata 2, 465 Bíldudalur, single-story residential house. Main entrance is at street level. No security features. Unpaved parking in front of the house. Current conditions: 8°C, overcast, light breeze. GPS coordinates: 65.6814° N, 23.5306° W. Nearest landmark: Bíldudalur harbor.

Municipality: Bíldudalur

Postal Code: 465

Emergency Details

Type: Dialysis Patient Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

65-year-old male, end-stage renal disease, requires scheduled transfer from home to Ísafjörður hospital for routine dialysis. Patient is stable, conscious, and breathing normally. No acute symptoms. Patient is mobile with assistance. Medical history: Type 2 diabetes, hypertension, ESRD. Medications: Insulin, Amlodipine, various dialysis-related medications. No known allergies. Last meal was breakfast at 07:00. Patient is waiting at home for transport.

History of Events

Timeline:
0800 hours: Patient had breakfast and took medications.
0900 hours: Patient prepared for dialysis appointment.
0930 hours: Patient's wife called to confirm transport.
0935 hours: Current time, patient is stable and waiting for transport.

Prior Events: Patient has been on dialysis for 3 years, regular appointments at Ísafjörður hospital 3 times per week. No recent hospitalizations. Stable condition between dialysis sessions. Last dialysis was 2 days ago.

Diagnostics

Initial Assessment

Initial Impression: Stable patient requiring routine dialysis transfer
Justification for F4 Classification:
- Patient is stable with no acute symptoms.
- Transfer is for a scheduled dialysis appointment.
- No immediate medical intervention is required.
- Response time is not critical.

Differential Diagnoses:
1. Stable ESRD patient requiring routine dialysis (most likely)
2. Potential minor complications related to dialysis (unlikely given no symptoms)
3. Other medical conditions not related to dialysis (low probability)

Required Actions:
- Dispatch of non-emergency transport unit.
- Confirmation of dialysis appointment time at Ísafjörður hospital.
- Safe and comfortable transport of patient to dialysis facility.

Final Diagnosis

Final Diagnosis: Stable ESRD patient for scheduled dialysis
Key Findings:
- Patient arrived at dialysis center in stable condition.
- No changes in vital signs during transport.
- Dialysis session completed without incident.

Outcome validated F4 priority assignment. Transfer was routine and uneventful. Patient tolerated dialysis well.

Learning Points:
1. F4 classification appropriate due to stable patient status and scheduled appointment.
2. Pre-transport assessment was accurate and aligned with the actual condition.
3. Routine transport protocols were sufficient for this case.

Emergency Call Transcript

Dispatcher Emergency services, this is the non-emergency line, how can I help you?

Caller Good morning, this is Guðrún Jónsdóttir, calling about my husband's dialysis transport. He is ready for his appointment in Ísafjörður.

Dispatcher Okay, can you confirm your address please?

Caller Yes, it's Hafnargata 2, in Bíldudalur.

Dispatcher And your husband's name and social security number?

Caller His name is Einar Karlsson, and his kennitala is ******-****.

Dispatcher Thank you. Is he feeling okay today?

Caller Yes, he is stable. He had breakfast and is ready to go. It's just his usual dialysis day.

Dispatcher Okay, a transport unit will be dispatched. The estimated arrival time is within the next 1-4 hours. Is that acceptable?

Caller Yes, that's fine. We'll wait here for them. Thank you.

Dispatcher You're welcome, please call again if anything changes.