Emergency Scenario 465_f4_3

Location Information

Hafnargata 1, 465 Bíldudalur, ground floor. Single-story wooden building, constructed in 1960. Main entrance is accessible via a ramp. No security features. Current conditions: 8°C, overcast, good visibility, dry road conditions. GPS coordinates: 65.7334° N, 23.5308° W. Nearest landmark: Bíldudalur harbor.

Emergency Details

68-year-old female, post-operative day 2 following a total hip replacement. Patient is stable, afebrile, with well-healing surgical site. Transfer required from Bíldudalur Health Clinic to Ísafjörður Hospital for further rehabilitation. Patient is ambulatory with crutches, tolerating oral fluids and soft diet. No active medical complaints. Patient is calm and cooperative.

History of Events

Timeline:
0700 hours: Patient had light breakfast.
0800 hours: Patient completed morning physiotherapy session.
0900 hours: Patient is stable, all vital signs within normal limits, and is prepared for transfer.
0915 hours: Transfer request initiated by nursing staff at Bíldudalur Health Clinic.

Prior Events: Patient underwent a total right hip replacement two days prior at Ísafjörður Hospital. Post-operative course has been uneventful. Patient has a history of osteoarthritis. Medications: Paracetamol 1000mg every 6 hours PRN, Rivaroxaban 10mg daily, Calcium with Vitamin D supplement daily. No known allergies. Last medical check-up was pre-operative assessment at Ísafjörður Hospital.

Diagnostics

Initial Assessment

Initial Impression: Post-operative transfer, stable patient.
Justification for F4 Classification:
- Patient is clinically stable with no acute medical issues.
- Transfer is for rehabilitation purposes and not for immediate medical intervention.
- No time-sensitive conditions that require urgent transfer.

Differential Diagnoses:
1. Stable post-operative status (primary diagnosis)
2. Potential for post-operative complications (low probability given assessment)
3. Need for rehabilitation (primary reason for transfer)

Required Actions:
- Scheduled transfer to Ísafjörður Hospital within 1-4 hours.
- Monitoring of vital signs during transfer.
- Ensuring patient comfort during transport.
- Transportation with a non-emergency ambulance.

Final Diagnosis

Final Diagnosis: Stable Post-Operative Status following Total Hip Replacement.
Key Findings:
- Patient's vital signs remained stable during transfer.
- Surgical site was clean, dry, and well-approximated.
- Patient reported minimal discomfort and was cooperative throughout the transfer.

Outcome validated F4 priority assignment. The patient arrived at Ísafjörður Hospital without incident and was admitted for rehabilitation.

Learning Points:
1. F4 classification was appropriate given the stable nature of the patient.
2. Pre-transfer assessment accurately reflected the patient's clinical status.
3. Routine transport was sufficient for this case.

Emergency Call Transcript