Emergency Scenario 600_f4_17

Location Information

Hlíðarvegur 2, 600 Akureyri, second floor of the rehabilitation center. Two-story concrete building built in 1995. Main entrance is accessible with ramp. Elevator and stairwell available. Parking in front of the building. Building has security access with keypad. Current conditions: 7°C, cloudy, good visibility. GPS coordinates: 65.6817° N, 18.0901° W. Nearest landmark: Akureyri Hospital.

Emergency Details

78-year-old male, post-operative rehabilitation patient requiring transfer from Akureyri Rehabilitation Center to his home in Eyjafjörður. Patient is stable, ambulatory with assistance, and requires no acute medical intervention during transport. Patient has a history of right hip replacement surgery 6 weeks ago and is now deemed fit for discharge but requires transportation assistance.

History of Events

Timeline:
0800 hours: Patient had breakfast at the rehabilitation center.
0900 hours: Patient completed his morning physiotherapy session.
1000 hours: Patient's discharge paperwork was completed and he was deemed medically stable for transfer.
1030 hours: Transfer request placed by the rehabilitation center staff.

Prior Events: Patient underwent right hip replacement surgery 6 weeks ago following a fall at home. Post-operative recovery has been uneventful. No recent complications. Patient has been participating in daily physiotherapy sessions. Patient has a history of hypertension and type 2 diabetes. Last medical check-up was at the rehabilitation center yesterday, routine follow-up.

Diagnostics

Initial Assessment

Initial Impression: Routine Post-Operative Rehabilitation Transfer
Justification for F4 Classification:
- Patient is medically stable and requires no acute medical intervention.
- Transfer is for routine discharge from rehabilitation to home.
- No immediate medical needs or time-sensitive requirements.

Differential Diagnoses:
1. Stable post-operative status (primary diagnosis)
2. Potential for minor discomfort during transport (low probability)
3. No acute medical concerns

Required Actions:
- Dispatch of a non-emergency patient transport vehicle.
- Ensure patient comfort and safe transport to his residence.
- No advanced life support requirements.

Final Diagnosis

Final Diagnosis: Stable Post-Operative Rehabilitation Patient
Key Findings:
- Patient's vital signs are stable (HR 78, BP 130/80, RR 16, SpO2 98% on room air).
- Patient is ambulatory with assistance, no signs of acute distress or complications.
- Patient is cleared for discharge by rehabilitation center staff.

Outcome validated F4 priority assignment. Transfer was completed without incident. Patient was safely delivered to his home.

Learning Points:
1. F4 classification was appropriate for this routine transfer.
2. Clear communication between the rehabilitation center and dispatch is essential for efficient transfer planning.
3. No acute medical issues were present, confirming the stability of the patient.

Emergency Call Transcript