Emergency Scenario 600_f4

Location Information

Full Location:

Hlíðarvegur 14, 600 Akureyri. Single-story medical clinic building, constructed in 2005. Main entrance is accessible via a ramp. Parking available. Building equipped with fire suppression system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6747° N, 18.0939° W. Nearest landmark: Akureyri Hospital.

Municipality: Akureyri

Postal Code: 600

Emergency Details

Type: Dialysis Patient Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

72-year-old male, requires routine transfer from dialysis clinic to his residence. Patient is stable, alert, and oriented. No acute medical issues. Patient is ambulatory with assistance. Patient reports no pain or discomfort. Medical history: End-stage renal disease, hypertension, type 2 diabetes. Medications: Erythropoietin 4000 units weekly, Insulin 10 units twice daily, Amlodipine 5mg daily, Metformin 500mg twice daily. No known allergies. Last dialysis session completed at 11:00. Last meal was a light lunch at 12:00.

History of Events

Timeline:
1100 hours: Patient completed scheduled dialysis session at clinic
1200 hours: Patient had light lunch
1300 hours: Patient is ready for routine transport to his residence

Prior Events: Patient has been receiving dialysis three times a week for the past 3 years. He is a regular patient at the clinic and is generally stable. No recent hospitalizations or medical issues. Regular follow-ups with nephrologist.

Diagnostics

Initial Assessment

Initial Impression: Routine Dialysis Patient Transfer
Justification for F4 Classification:
- Patient is stable, alert, and oriented
- No acute medical issues reported
- Transfer is routine and non-urgent

Differential Diagnoses:
1. Stable post-dialysis patient (primary diagnosis)
2. Post-dialysis hypotension (unlikely, no symptoms)
3. Hypoglycemia (unlikely, patient had lunch and is stable)

Required Actions:
- Dispatch of non-emergency transport vehicle
- Ensure patient's comfort during transport
- Safe transfer to patient's residence

Final Diagnosis

Final Diagnosis: Stable Post-Dialysis Patient
Key Findings:
- Patient's vital signs are within normal limits for his condition
- Patient is alert and oriented with no complaints
- Dialysis session was completed without complications

Outcome validated F4 priority assignment. Routine transfer was appropriate and completed without incident. Patient was safely transported to his residence.

Learning Points:
1. F4 classification appropriate for routine non-emergency transfers
2. Accurate assessment of patient's stable condition allowed for non-emergency transport
3. Clear communication between clinic staff and transport team ensured a smooth transfer

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Jón Einarsson from the dialysis clinic. We need a routine transfer for a patient.

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

Caller The patient is Jón Einarsson, kennitala ******-****. He's ready for transport to his home at Hlíðarvegur 14 in Akureyri.

Dispatcher Is the patient stable and ready for transport?

Caller Yes, he is stable, alert, and has completed his dialysis session. He is ambulatory with some assistance.

Dispatcher Does he have any medical issues we should be aware of?

Caller He has end-stage renal disease, hypertension, and type 2 diabetes. But he is stable at the moment.

Dispatcher Okay, I'm scheduling a non-emergency transport for him. It should arrive within 1-4 hours.

Caller Thank you, we will wait here.