Emergency Scenario 550_f4

Location Information

Full Location:

Hafnarbraut 17, 550 Sauðárkrókur, third floor, room 304. Modern hospital building constructed in 2010. Main entrance is accessible via ramp and automatic doors. Multiple elevators and stairwells. Parking available in front of the building. Equipped with fire suppression and alarm systems. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.7488° N, 19.6442° W. Nearest landmark: Sauðárkrókur harbor.

Municipality: Sauðárkrókur

Postal Code: 550

Emergency Details

Type: Post-Operative Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

72-year-old male, post-operative day 3 following a total knee replacement. Patient is stable, afebrile, and has minimal pain controlled with oral analgesics. Transfer required from Sauðárkrókur Hospital to his residence in Hofsós. Patient is ambulatory with crutches. Requires assistance with stairs at home. No active medical issues. Patient is alert and cooperative. No known allergies. Medications: Paracetamol 1000mg QID, Oxycodone 5mg PRN.

History of Events

Timeline:
Day 1: Total knee replacement surgery performed without complications.
Day 2: Patient mobilized with crutches, minimal pain, vital signs stable.
Day 3: Patient ambulating independently with crutches, pain well-controlled with oral medication. Discharge planned for today.

Prior Events: Patient has a history of osteoarthritis in both knees. No history of cardiac or respiratory issues. Last medical check-up was pre-operative assessment 2 weeks ago. Patient lives with his wife, who is able to provide support at home. No recent illnesses or injuries.

Diagnostics

Initial Assessment

Initial Impression: Stable post-operative patient requiring routine transfer.
Justification for F4 Classification:
- Patient is clinically stable, afebrile, and has minimal pain.
- Transfer is routine and does not require immediate medical intervention.
- Patient is ambulatory with crutches and can be transported in a non-emergency vehicle.

Differential Diagnoses:
1. Post-operative pain (controlled)
2. Infection (unlikely, no fever or signs of infection)
3. Deep vein thrombosis (low probability, no signs of DVT)
4. Surgical site complications (unlikely, wound is healing well)

Required Actions:
- Arrange non-emergency transport with appropriate patient transfer equipment (wheelchair, assistance with stairs).
- Provide patient with discharge instructions and medication list.

Final Diagnosis

Final Diagnosis: Stable post-operative total knee replacement patient, ready for discharge.
Key Findings:
- Patient's vital signs remained stable throughout the post-operative period.
- Surgical site was clean and dry, no signs of infection.
- Patient was ambulating well with crutches and reported minimal pain.

Outcome validated F4 priority assignment. Routine transfer was appropriate and safe. Patient was successfully transferred to his residence without incident.

Learning Points:
1. F4 classification appropriate for stable post-operative patients requiring routine transfers.
2. Initial assessment accurately identified the low-risk nature of the transfer.
3. Good communication between hospital staff and transport team ensured a smooth transfer process.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Hildur Jónsdóttir calling from Sauðárkrókur Hospital. We need a routine transfer for a patient.

Dispatcher Okay, can you provide the patient's details and the transfer information?

Caller The patient's name is Jón Einarsson, kennitala ******-****. He is post-operative day 3 after a total knee replacement and is ready for discharge.

Dispatcher What is his current condition?

Caller He is stable, afebrile, and has minimal pain controlled with oral medications. He is ambulatory with crutches but will need help with stairs at home.

Dispatcher What is the destination address?

Caller His home is in Hofsós, I can provide the exact address if needed. It is not urgent, a routine transfer within the next 1-4 hours would be fine.

Dispatcher Okay, we will arrange for a non-emergency transport. Please provide the full address in Hofsós and any specific instructions for the transfer.

Caller The address is Aðalgata 22, 565 Hofsós. He will need help with stairs at the front door. Thank you.