Emergency Scenario 465_f4_4

Location Information

Hafnargata 12, 465 Bíldudalur, single-story wooden house built in 1955. Main entrance facing the street, no other entrances. No security features. Gravel driveway. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.7339° N, 23.5339° W. Nearest landmark: Bíldudalur Harbor.

Emergency Details

75-year-old female, post-stroke rehabilitation patient, requires transfer from home to rehabilitation center in Ísafjörður. Patient is stable, conscious, and communicative. She is currently bedridden, requiring assistance with all activities of daily living. Patient has no acute medical issues. She is being discharged from home care services.

History of Events

Timeline:
0800 hours: Patient received morning medications and care from home health nurse.
0900 hours: Patient had breakfast and is resting comfortably in bed.
1000 hours: Discharge paperwork completed by home care nurse.
1015 hours: Call placed to dispatch for transport to rehabilitation center.

Prior Events: Patient suffered a stroke 6 weeks ago. Patient has been receiving home care services since hospital discharge 4 weeks ago. Patient has shown steady improvement in mobility and speech, but still requires assistance with all ADLs. No recent changes in condition. Patient has no other significant medical history except for hypertension, which is well controlled with medication. No recent illnesses or injuries. Last medical check-up was 2 weeks ago, routine follow-up.

Diagnostics

Initial Assessment

Initial Impression: Post-Stroke Rehabilitation Transfer
Justification for F4 Classification:
- Patient is stable, not acutely ill, and requires routine transfer.
- No urgent medical needs are present.
- Transfer is for ongoing rehabilitation, not emergency care.

Differential Diagnoses:
1. Stable post-stroke patient (primary concern)
2. No acute medical issues requiring immediate intervention
3. No signs of infection, pain, or other acute symptoms.

Required Actions:
- Schedule non-emergency ambulance transport.
- Ensure all necessary medical documentation is with the patient.
- Confirm rehabilitation center has been notified of transfer.

Final Diagnosis

Final Diagnosis: Stable Post-Stroke Rehabilitation Patient
Key Findings:
- Patient remains stable throughout the transfer process.
- No changes in vital signs or condition during transport.
- Patient arrived at rehabilitation center without incident.

Outcome validated F4 priority assignment. Routine transfer was appropriate. Patient was admitted to the rehabilitation center without complications.

Learning Points:
1. F4 classification was appropriate given the patient's stable condition and planned transfer.
2. Pre-transfer assessment accurately reflected the patient's needs and stability.
3. No emergent issues occurred during the transfer.

Emergency Call Transcript