Emergency Scenario 465_f4

Location Information

Full Location:

Hafnargata 11, 465 Bíldudalur. A single-story, wooden residential building built in 1955. Main entrance faces the street. No elevator. Street parking available. No specific security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.7309° N, 23.5449° W. Nearest landmark: Bíldudalur Harbor.

Municipality: Bíldudalur

Postal Code: 465

Emergency Details

Type: Rehabilitation Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

76-year-old female, post-operative hip replacement, needs transfer from Bíldudalur Health Clinic to her home in the same town. Patient is stable, afebrile, with minimal pain controlled by oral medication. Requires assistance with mobility and transfer due to limited weight-bearing on operated leg. Patient has been cleared for discharge by the orthopedic surgeon. No acute medical issues. Requires routine transport with two personnel.

History of Events

Timeline:
0800 hours: Patient completed morning medication.
0830 hours: Patient had light breakfast.
0900 hours: Patient received discharge instructions from nurse.
0915 hours: Discharge paperwork completed and signed.
0930 hours: Patient is ready for transport.

Prior Events: Patient underwent right hip replacement surgery 5 days ago at Ísafjörður Hospital. Post-operative course has been uncomplicated, with good pain control and wound healing. No history of significant cardiac or respiratory issues. Patient is on a regular diet and tolerating it well. Patient lives alone in a single-story home with minimal stairs.

Diagnostics

Initial Assessment

Initial Impression: Post-operative hip replacement, stable for routine transfer.
Justification for F4 Classification:
- Patient is stable with no acute medical issues
- Transfer is for rehabilitation purposes, not for acute medical care
- Patient is cleared for discharge by the attending physician
- No signs of infection or other complications

Differential Diagnoses:
1. Post-operative status (primary concern)
2. Deep vein thrombosis (low probability, no signs of DVT)
3. Surgical site infection (low probability, no signs of infection)
4. Pain requiring escalation (low probability, pain well controlled)

Required Actions:
- Dispatch of non-emergency transport with two personnel
- Ensure patient is comfortable and secure during transport
- Monitor patient's condition during transfer
- Assist patient with entry into her home

Final Diagnosis

Final Diagnosis: Post-operative right hip replacement, stable for home discharge.
Key Findings:
- Patient's vital signs remained stable throughout the transfer.
- Patient reported no increase in pain or discomfort.
- Surgical site appeared clean and well-healed.
- Patient was able to transfer to her bed with minimal assistance.

Outcome validated F4 priority assignment. Routine transport was appropriate. Patient was safely transferred to her home without any complications.

Learning Points:
1. F4 classification was appropriate due to the patient's stable condition and planned transfer.
2. Clear communication with the discharging facility ensured a smooth transition.
3. Proper documentation of the patient's status and transfer requirements is essential for routine transports.

Emergency Call Transcript

Dispatcher Emergency services, this is the non-emergency line, what is your request?

Caller Hello, this is Guðrún Jónsdóttir from Bíldudalur Health Clinic. We need a transfer for a patient.

Dispatcher Okay, can you please provide the patient's name and date of birth?

Caller The patient is Sigríður Eiríksdóttir, born on the 12th of March, 1947.

Dispatcher And what is the reason for the transfer?

Caller She had a hip replacement and is ready to go home. She lives at Hafnargata 11 here in Bíldudalur.

Dispatcher Okay, is she stable for a routine transfer?

Caller Yes, she is stable. She's on oral pain medication and needs help getting around.

Dispatcher Understood. We will arrange for a non-emergency transfer. This will be within the next 1-4 hours. Is that acceptable?

Caller Yes, that's fine. Thank you.

Dispatcher You're welcome. We'll be in touch soon.