Emergency Scenario 600_f4

Location Information

Full Location:

Hlíðarvegur 14, 600 Akureyri, second floor of the rehabilitation center. The building is a two-story modern structure with a ramp at the main entrance and an elevator. The patient is in room 210. The building has automatic doors and a security system with a keypad. The weather is clear, 8°C with good visibility. GPS coordinates: 65.6748° N, 18.0951° W. Nearest landmark: Akureyri Hospital.

Municipality: Akureyri

Postal Code: 600

Emergency Details

Type: Rehabilitation Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

72-year-old female patient requiring transfer from Akureyri rehabilitation center to her home in the same town. Patient is stable and ambulatory with assistance. Primary need is transportation with medical supervision. Patient is post-stroke, recovering well. Requires assistance with mobility due to mild left-sided weakness. Patient is alert, oriented, and cooperative. No acute medical issues. Patient has a medical history of hypertension and type 2 diabetes. Medications: Metformin 500mg twice daily, Lisinopril 10mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was lunch at 12:00.

History of Events

Timeline:
1300 hours: Patient was evaluated by rehabilitation team, deemed stable for transfer
1315 hours: Transfer request initiated by rehabilitation center
1330 hours: Current time, patient is packed and ready for transfer

Prior Events: Patient suffered a stroke 3 months ago and has been undergoing rehabilitation at the center. She has made good progress in regaining mobility and function. No recent changes in her condition. All vital signs are within normal limits. Patient has been cleared by the physician for discharge.

Diagnostics

Initial Assessment

Initial Impression: Stable patient requiring routine transfer
Justification for F4 Classification:
- Patient is medically stable with no acute issues
- Transfer is for convenience and not due to medical urgency
- Response time is not critical and within 1-4 hours is acceptable

Differential Diagnoses:
1. Stable Post-Stroke Patient (primary condition)
2. No acute medical issues

Required Actions:
- Dispatch of a non-emergency transport vehicle with medical personnel
- Ensure safe transfer to her home address
- Monitor patient during transport
- Transfer of medical documentation to the patient's residence or primary care physician

Final Diagnosis

Final Diagnosis: Stable Post-Stroke Patient for Routine Transfer
Key Findings:
- Patient's condition remained stable during transfer
- No new medical issues arose
- Transfer was completed without complications

Outcome validated F4 priority assignment. Patient arrived home safely and comfortably.

Learning Points:
1. F4 classification was appropriate given the stable and non-urgent nature of the transfer
2. Initial assessment accurately reflected the patient's condition
3. Routine transfer protocols were followed successfully.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Hello, this is Hjördís from the Akureyri rehabilitation center. We need a transfer for a patient.

Dispatcher Okay, what is the patient's name and location?

Caller The patient is Ásta Guðbrandsdóttir, room 210, second floor. She is ready for transfer.

Dispatcher Can you tell me the reason for the transfer?

Caller She is being discharged home. She's stable, but needs assistance with transport due to a mild weakness.

Dispatcher Okay, and is she medically stable?

Caller Yes, she is completely stable. No acute issues. She had a stroke a few months ago, but is recovering well.

Dispatcher Does she have any other medical conditions or allergies?

Caller She has hypertension and type 2 diabetes. No allergies. She takes medication for both.

Dispatcher Okay, I will schedule a non-emergency transfer for her. It will be within 1-4 hours.

Caller That's perfect, thank you very much.