Emergency Scenario 600_f4

Location Information

Full Location:

Sjúkrahúsið á Akureyri, Eyrarlandsvegur, 600 Akureyri. Main oncology ward, 3rd floor, room 312. Modern hospital building with multiple entrances and elevators. 24/7 access for ambulances. Parking available for emergency vehicles. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6746° N, 18.1015° W. Nearest landmark: Akureyri Hospital main entrance.

Municipality: Akureyri

Postal Code: 600

Emergency Details

Type: Oncology Patient Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

72-year-old female, known oncology patient, scheduled transfer from Akureyri Hospital to the oncology department at Landspítali in Reykjavík for further treatment. Patient is stable, ambulatory, and requires no acute medical intervention during transport. Patient has a history of breast cancer with metastasis to the bone. Primary symptoms: Stable, no acute complaints. Secondary symptoms: Mild fatigue, occasional bone pain managed with oral analgesics. Patient is alert and oriented. Medical history: Breast cancer (diagnosed 2 years ago), bone metastasis, hypertension. Medications: Letrozole 2.5mg daily, Pamidronate 90mg IV monthly, Paracetamol 1000mg PRN. Allergies: No known allergies. Last meal was a light lunch at 12:00. Recent healthcare contacts: Monthly pamidronate infusion, regular oncology checkups.

History of Events

Timeline:
1300 hours: Patient completed oncology check-up in Akureyri, transfer to Reykjavík approved by oncologist.
1315 hours: Transfer request initiated by hospital staff.
1330 hours: Patient is ready for transfer, waiting in room 312.

Prior Events: Patient has been receiving treatment for metastatic breast cancer for the past 2 years. Condition has been stable on current treatment regimen. No recent hospitalizations or acute exacerbations. Last medical check-up was today. Patient has a planned chemotherapy session at Landspítali in 2 days.

Diagnostics

Initial Assessment

Initial Impression: Stable Oncology Patient for Routine Transfer
Justification for F4 Classification:
- Patient is stable, ambulatory, and requires no acute medical intervention.
- Transfer is planned and not an emergency.
- Response time is within 1-4 hours.

Differential Diagnoses:
1. Stable Oncology Patient (primary diagnosis)
2. Potential for pain exacerbation (low probability)
3. Potential for fatigue during transport (low probability)

Required Actions:
- Secure patient transport vehicle with appropriate medical equipment.
- Ensure patient comfort and safety during transport.
- Coordinate with receiving hospital for patient handoff.

Final Diagnosis

Final Diagnosis: Stable Oncology Patient for Planned Transfer
Key Findings:
- Patient remained stable throughout the transfer process.
- No changes in vital signs or symptoms.
- Patient arrived at Landspítali without complications.

Outcome validated F4 priority assignment. Transfer was completed without any issues. Patient was handed over to the oncology team at Landspítali. No interventions were needed during transport.

Learning Points:
1. F4 classification was appropriate given the stable condition of the patient.
2. Careful planning and coordination ensured a smooth transfer.
3. No changes in the patient’s condition during the transfer indicated the appropriateness of the priority assignment.

Emergency Call Transcript

Dispatcher Emergency services, this is dispatch, how can I assist you?

Caller Good afternoon, this is Hildur Jónsdóttir from the oncology ward at Akureyri Hospital. We need to arrange a routine transfer for a patient.

Dispatcher Okay, can you please provide the patient's details and the reason for the transfer?

Caller Yes, the patient is a 72-year-old female, her name is [Patient Name]. She has a history of breast cancer with bone metastasis. She is stable and needs to be transferred to Landspítali in Reykjavík for further treatment.

Dispatcher Is the patient currently experiencing any acute symptoms or pain?

Caller No, she is stable, alert, and ambulatory. She has some mild fatigue and occasional bone pain, but it is managed with her usual medication. This is a planned transfer for her ongoing treatment.

Dispatcher Understood. What is the patient's current location in the hospital?

Caller She is in room 312 on the third floor of the oncology ward. She is ready for transport now.

Dispatcher Okay, I will schedule a routine transfer. Please ensure her medical records and medication list are ready. The transport team will arrive within the next 1 to 4 hours.

Caller Perfect, thank you for your assistance.