Sjúkrahúsið á Akureyri, Eyrarlandsvegur, 600 Akureyri, Oncology Department, 3rd floor, Room 312. Modern concrete hospital building. Main entrance and emergency entrance available. Elevators and stairwells provide access. Security personnel on site. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6736° N, 18.0906° W. Nearest landmark: Akureyri Hospital Helipad.
62-year-old female, oncology patient, requires transfer from Akureyri Hospital to Reykjavik for specialized treatment. Patient is stable, conscious, and oriented. Primary need is for transport. Patient has a history of breast cancer, currently under palliative care. Patient is mobile with assistance. No acute medical issues at this time. Requires oxygen via nasal cannula at 2L/min. Patient is currently in a hospital bed in Room 312 of the Oncology Department. No immediate concerns, transfer is for planned treatment.
Timeline: 0800 hours: Patient received breakfast in the hospital. 0900 hours: Oncology team completed morning rounds, determined patient is stable for transfer. 0930 hours: Transfer request initiated by oncology team. 1000 hours: Dispatch call placed for patient transfer. Prior Events: Patient diagnosed with metastatic breast cancer 2 years ago. Has been receiving palliative care at Akureyri Hospital for the past 6 months. Recent treatments include chemotherapy and radiation. Patient has a history of mild hypertension, well-controlled with medication. No recent changes in medical status. Last medical check-up yesterday, no significant findings. Patient has been stable throughout the night.
Initial Impression: Stable Oncology Patient Requiring Transfer Justification for F4 Classification: - Patient is medically stable with no acute symptoms. - Transfer is for planned, non-urgent specialized treatment. - No immediate medical intervention required during transport. - Response time within 1-4 hours is appropriate. Differential Diagnoses: 1. Stable Oncology Patient (primary diagnosis) 2. Dehydration (low probability, patient is well-hydrated) 3. Electrolyte Imbalance (low probability, no recent lab changes) 4. Infection (low probability, no signs of fever or sepsis) Required Actions: - Coordination of patient transfer with ground transport or air ambulance. - Ensure availability of oxygen during transport. - Ensure patient comfort during transport. - Transfer to Reykjavik for planned treatment.