Emergency Scenario 600_f4

Location Information

Full Location:

Hlíðarvegur 14, 600 Akureyri, Dialysis Center, Ground floor. Single story purpose-built medical facility. Main entrance with automatic doors. Ramp access. Ample parking available. Building equipped with backup power. Current conditions: 7°C, clear skies, good visibility. GPS coordinates: 65.6782° N, 18.0955° 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:

68-year-old male, chronic renal failure patient. Stable condition. Requires routine transport from Akureyri Dialysis Center to his residence after scheduled dialysis. Patient is ambulatory, but requires assistance due to fatigue post-dialysis. Medical history: Chronic renal failure, type 2 diabetes, hypertension. Medications: Insulin, antihypertensives, phosphate binders. No known allergies. Last dialysis session completed at 14:00. Patient is alert and cooperative.

History of Events

Timeline:
1000 hours: Patient arrives at Dialysis Center for scheduled session
1015-1400 hours: Patient undergoes routine hemodialysis treatment
1400 hours: Dialysis session completed. Patient stable, requires transport home
1415 hours: Call initiated to dispatch for transport

Prior Events: Patient has been undergoing dialysis three times per week for the past 5 years. No recent hospitalizations or acute medical issues. Last medical check-up was one week ago, routine follow-up with nephrologist. Patient lives alone in a single-story house, accessible by ramp.

Diagnostics

Initial Assessment

Initial Impression: Post-Dialysis Routine Transfer
Justification for F4 Classification:
- Patient is stable with no acute medical issues
- Transfer is for routine post-dialysis care
- No immediate medical intervention required
- Response time goal is within 1-4 hours

Differential Diagnoses:
1. Post-Dialysis Fatigue (most likely)
2. Hypoglycemia (unlikely, no symptoms reported)
3. Hypotension (unlikely, patient stable)
4. Dialysis Disequilibrium Syndrome (unlikely, no neurological symptoms)

Required Actions:
- Dispatch of non-emergency transport service
- Ensure patient comfort during transport
- Confirm patient's destination address and access details
- Transport to patient's residence with assistance for safe entry

Final Diagnosis

Final Diagnosis: Post-Dialysis Routine Transfer, Stable
Key Findings:
- Patient completed dialysis without complications
- Patient vital signs stable: BP 130/80, HR 78, RR 16, Temp 36.8°C
- Patient reported mild fatigue, normal post-dialysis
- No signs of acute illness or complications

Outcome validated F4 priority assignment. Transfer was routine and uneventful.

Learning Points:
1. F4 classification appropriate for stable post-dialysis transfers
2. Dispatch should confirm patient stability and transport requirements
3. No medical intervention required during transport

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Hildur Jónsdóttir from the Akureyri Dialysis Center. We need a transport for a patient, Jón Einarsson, after his dialysis.

Dispatcher Okay, is the patient stable?

Caller Yes, he is stable. He has completed his dialysis and is just a bit tired. He needs to go home now.

Dispatcher What is his address?

Caller His address is Sunnuvegur 22, 600 Akureyri. It's a single-story house with a ramp.

Dispatcher Okay, and what is his kennitala?

Caller His kennitala is ******-****.

Dispatcher Okay, a transport will be arranged. There is no emergency, so it may take a few hours. Is that acceptable?

Caller Yes, that's fine. He's stable. Thank you.

Dispatcher You're welcome. We will be in touch.