Emergency Scenario 600_f4

Location Information

Full Location:

Sjúkrahúsið á Akureyri, Eyrarlandsvegur, 600 Akureyri. Main entrance, ground floor, oncology ward. Modern hospital building, built in 1985, concrete structure. Multiple access points including main entrance, emergency entrance and staff entrances. Parking available on site. No security codes required for access during daytime. Current conditions: 7°C, cloudy, good visibility. GPS coordinates: 65.6605° N, 18.0933° W. Nearest landmark: Akureyri Hospital.

Municipality: Akureyri

Postal Code: 600

Emergency Details

Type: Oncology Patient Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

78-year-old male, known oncology patient, needs transfer from Akureyri hospital to the National University Hospital in Reykjavik for specialized treatment. Patient is stable, conscious, and breathing without distress. Primary diagnosis: Stage 4 lung cancer with bone metastases. Patient is ambulatory with assistance. No acute symptoms. No pain reported at this time. Transfer is pre-arranged by the oncology team.

History of Events

Timeline:
0900 hours: Patient was assessed by the oncology team, deemed stable for transfer
0915 hours: Transfer request was initiated by the oncology team
0930 hours: Dispatch notified of transfer requirement
0945 hours: Current time, patient is waiting for transport. 

Prior Events: Patient was diagnosed with lung cancer 1 year ago. He has been receiving palliative care at Akureyri Hospital for the past 3 months. No recent changes in condition. No recent infections or complications. Patient has been stable on current medication regimen. Last medical check-up 1 day ago, routine follow-up. Patient is alert and oriented. Has been mobile with assistance. No recent falls or injuries.

Diagnostics

Initial Assessment

Initial Impression: Stable Oncology Patient Transfer
Justification for F4 Classification:
- Patient is stable with no acute symptoms
- Transfer is pre-arranged and non-urgent
- No immediate medical interventions required during transport

Differential Diagnoses:
1. Stable Oncology Patient (primary and only diagnosis)

Required Actions:
- Dispatch of non-emergency transport vehicle
- Transfer to National University Hospital in Reykjavik
- Ensure continuity of care during transfer
- No immediate medical interventions required.

Final Diagnosis

Final Diagnosis: Stable Oncology Patient Transfer Confirmed
Key Findings:
- Patient remained stable during the transfer
- No changes in vital signs or symptoms
- Patient arrived at National University Hospital without incident

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

Learning Points:
1. F4 classification appropriate due to the non-urgent nature of the transfer
2. Pre-arranged transfers require accurate patient information and confirmation of stability
3. Communication between the sending and receiving facilities is crucial for a smooth transfer

Emergency Call Transcript

Dispatcher Emergency services, this is the dispatch center. How can I assist you?

Caller This is Hrafnhildur Jónsdóttir from the oncology ward at Akureyri Hospital. We need to arrange a routine transfer for a patient.

Dispatcher Okay, can you provide me with the patient's information and the destination?

Caller Yes, the patient is Guðjón Einarsson, kennitala ******-****. He is being transferred to the National University Hospital in Reykjavik.

Dispatcher And what is the reason for the transfer?

Caller He is a known oncology patient with stage 4 lung cancer and bone metastases. He needs specialized treatment there. He is stable and ready for transport.

Dispatcher Is the patient experiencing any pain or discomfort at this time?

Caller No, he is stable and comfortable. He is able to walk with assistance.

Dispatcher Alright, I am assigning this as a routine transfer. We will arrange a non-emergency transport. Please ensure the patient is ready. What is the current location within the hospital?

Caller He is on the oncology ward, ground floor, main entrance. We will have him ready for transport.

Dispatcher Okay, thank you. Transport will be arranged within the next few hours. We will keep you updated.

Caller Thank you.