Emergency Scenario 600_f4

Location Information

Full Location:

Hlíðarvegur 14, 600 Akureyri, first floor, room 103. Single-story rehabilitation center, concrete construction built in 2005. Main entrance is accessible via ramp. No security features. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6754° N, 18.0872° 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:

75-year-old male, post-operative rehabilitation transfer from Akureyri rehabilitation center to his home in Hrafnagil. Patient is stable, ambulatory with assistance, requires wheelchair for longer distances. Primary need is transport. Secondary needs include oxygen support during transport (2L/min nasal cannula) and assistance with mobility at home. Patient has a history of COPD and recent hip replacement surgery.

History of Events

Timeline:
0800 hours: Patient completed morning physiotherapy session.
0900 hours: Patient had breakfast and medication.
1000 hours: Patient is ready for discharge, awaiting transport.
1015 hours: Current time, discharge paperwork completed. Patient is in stable condition, sitting in a wheelchair.

Prior Events: Patient underwent total hip replacement 10 days ago following a fall at home. He has been in rehabilitation for 7 days, making good progress. No recent complications. Patient has a history of COPD, managed with inhalers. Last medical review was yesterday with no issues reported. Patient lives in a single-story home with family support.

Diagnostics

Initial Assessment

Initial Impression: Post-operative Rehabilitation Transfer
Justification for F4 Classification:
- Patient is stable, no acute medical issues.
- Transfer is for routine discharge, not an emergency.
- Response time within 1-4 hours is appropriate.

Differential Diagnoses:
1. Post-operative recovery (primary condition)
2. Stable COPD (managed with medication)
3. No other acute medical issues suspected

Required Actions:
- Dispatch of non-emergency transport service with oxygen capability
- Assistance with wheelchair transfer and home entry
- Confirmation of home accessibility and family support

Final Diagnosis

Final Diagnosis: Post-operative Rehabilitation Transfer - Hip Replacement
Key Findings:
- Patient's condition stable, no new complications
- Oxygen saturation maintained at 94% on 2L/min nasal cannula
- Patient able to transfer with assistance, minimal pain reported

Outcome validated F4 priority assignment. Routine transfer completed without incident. Patient settled at home with family support.

Learning Points:
1. F4 classification appropriate due to the non-urgent nature of the transfer
2. Pre-planning for oxygen support and mobility assistance was essential
3. Routine transfers require clear communication and coordination between healthcare facilities and transport services

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Hello, this is Hildur Jónsdóttir from the rehabilitation center. We need a transport for a patient going home.

Dispatcher Okay, can you provide the patient's name and address?

Caller Yes, it's Guðjón Einarsson, kennitala ******-****. He's going to Hrafnagil, I don't have the exact address here, but it's in the system.

Dispatcher Okay, what is his current condition?

Caller He's stable, post-hip replacement, needs oxygen at 2 liters, and uses a wheelchair for longer distances. He is ready for discharge.

Dispatcher Is he able to transfer to the transport vehicle with assistance?

Caller Yes, he can, with some help. He is currently sitting in a wheelchair.

Dispatcher Okay, a non-emergency transport will be dispatched. Estimated arrival within 1 to 4 hours. Please ensure he is ready and that someone is available to assist him at home.

Caller Understood, thank you. We will wait here for the transport.