Emergency Scenario 600_f4

Location Information

Full Location:

Sjúkrahúsið á Akureyri, Eyrarlandsvegur, 600 Akureyri. Main hospital building, first floor, ward 1A. Modern concrete structure built in 2005. Main entrance on the south side, wheelchair accessible. Multiple entrances for staff and emergency vehicles. Secure access with key card system. Ample parking available. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6714° N, 18.0956° W. Nearest landmark: Akureyri Hospital Helipad.

Municipality: Akureyri

Postal Code: 600

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 hip arthroplasty. Patient stable, afebrile, with minimal pain (2/10 on numeric pain scale). Requires transfer from Akureyri Hospital to his rehabilitation facility in Húsavík. Patient is ambulatory with a walker. No signs of infection or complications at the surgical site. Patient has a history of hypertension and type 2 diabetes, both well-controlled with medications. Patient has been cleared for transfer by the attending physician.

History of Events

Timeline:
Day 0: Patient underwent total hip arthroplasty at Akureyri Hospital.
Day 1: Patient began mobilization with physical therapy.
Day 2: Patient tolerated oral intake well, pain controlled with oral analgesics.
Day 3 (current): Patient is stable, ambulating with a walker, and cleared for transfer to rehabilitation facility.

Prior Events: Patient was admitted for elective hip replacement due to severe osteoarthritis. No history of recent illnesses or other surgical procedures. Patient has been compliant with pre-operative instructions. Last medical check-up was 2 weeks prior to surgery.

Diagnostics

Initial Assessment

Initial Impression: Post-Operative Transfer - Stable Patient
Justification for F4 Classification:
- Patient is clinically stable with no acute medical issues
- Post-operative status is routine with planned transfer to rehabilitation facility
- No time-critical interventions are required

Differential Diagnoses:
1. Post-operative recovery (primary diagnosis)
2. Potential for minor post-operative complications (low probability, no signs)
3. Pre-existing chronic conditions (well-controlled, no acute exacerbation)

Required Actions:
- Arrange routine ground transport for transfer to rehabilitation facility in Húsavík
- Ensure patient's medical records and medications are transferred with him
- Verify patient's comfort during transport
- Provide basic monitoring during transport, including vital signs if necessary

Final Diagnosis

Final Diagnosis: Post-Operative Total Hip Arthroplasty - Routine Transfer
Key Findings:
- Patient's condition remained stable throughout the transfer process
- No complications or adverse events occurred during transport
- Patient arrived at the rehabilitation facility in good condition

Outcome validated F4 priority assignment. Transfer was completed without incident.

Learning Points:
1. F4 classification was appropriate for this routine post-operative transfer
2. Careful planning and coordination between facilities are crucial for safe transfers
3. Clear communication with the patient and receiving facility ensured a smooth transition

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Hildur Jónsdóttir calling from the Akureyri Hospital, ward 1A. We need to arrange a routine transfer for a patient.

Dispatcher Okay, can you provide the patient's name and social security number?

Caller The patient's name is Jón Einarsson, and his social security number is ******-****.

Dispatcher What is the reason for the transfer?

Caller He is post-operative day three following a total hip replacement. He is stable and needs to be transferred to the rehabilitation facility in Húsavík.

Dispatcher Is the patient stable for transport?

Caller Yes, he is completely stable. He is ambulatory with a walker and has no acute medical issues.

Dispatcher Okay, we will arrange a routine transfer within the next 1-4 hours. Is there anything else?

Caller No, that is all. Thank you for your assistance.