Emergency Scenario 600_f4_10

Location Information

Hlíðarvegur 2, 600 Akureyri. Oncology department, second floor. Modern hospital building with multiple wings. Main entrance with automatic doors, clearly marked emergency entrance. Elevators and stairs available. Parking available in front of the building. Weather: 7°C, overcast, good visibility. GPS coordinates: 65.6709° N, 18.0927° W. Landmark: Akureyri Hospital.

Emergency Details

68-year-old female, known oncology patient, scheduled transfer from Akureyri Hospital to her home. Patient is stable, requires no acute medical intervention during transfer. Primary diagnosis: Stage IV lung cancer, currently receiving palliative care. Secondary conditions: Controlled hypertension, mild anemia. Patient is alert and oriented. Transfer is required to facilitate her wish to spend time at home.

History of Events

Timeline:
0800 hours: Patient had breakfast at hospital.
0900 hours: Medical team confirmed patient's stability for transfer.
1000 hours: Patient's daughter called for transport.
1015 hours: Current time, patient is awaiting transfer.

Past Medical History:
- Stage IV lung cancer diagnosed 1 year ago.
- Multiple rounds of chemotherapy and radiation therapy.
- Recent hospital admission for symptom management.
- Hypertension diagnosed 5 years ago, well controlled with medication.
- Anemia managed with iron supplements.
- No known allergies.
- Last medical review 2 days ago, stable condition.

Medications: Amlodipine 5mg daily, Ferrous sulfate 325mg daily, Morphine 5mg every 4 hours PRN for pain.

Diagnostics

Initial Assessment

Initial Impression: Stable Oncology Patient for Routine Transfer
Justification for F4 Classification:
- Patient is clinically stable with no acute medical needs.
- Transfer is pre-planned and routine, not requiring immediate intervention.
- Patient's condition does not pose an immediate threat to life or limb.

Differential Diagnoses:
1. Stable Oncology Patient (primary diagnosis)
2. Potential for Symptom Exacerbation (low probability, patient is stable)
3. Medication Side Effects (low probability, medications are routine)

Required Actions:
- Dispatch of non-emergency transport unit.
- Ensure patient comfort and safety during transfer.
- No need for ALS or advanced medical interventions.

Final Diagnosis

Final Diagnosis: Stable Oncology Patient for Routine Transfer
Key Findings:
- Patient's vital signs were stable throughout the transfer.
- No changes in condition during transport.
- Patient reported no new symptoms or complaints.
- On arrival at home, patient was comfortable and settled.

Outcome validated F4 priority assignment. Routine transport was appropriate and safe. No medical intervention was needed.

Learning Points:
1. F4 classification was appropriate for a routine, stable patient transfer.
2. Pre-planning and clear communication are essential for these types of transfers.
3. No escalation of care was required, confirming stability.

Emergency Call Transcript