Emergency Scenario 600_f4

Location Information

Full Location:

Hjallalundur 2, 600 Akureyri, second floor, oncology ward. Modern hospital building, built in 2010. Main entrance with automatic doors, elevator access to all floors. Parking available. Security cameras present. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6717° N, 18.0873° 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:

68-year-old female, post-operative oncology patient, scheduled for transfer from Akureyri Hospital to Reykjavik for further treatment. Patient is stable, afebrile, and has no acute complaints. Transfer required for specialized radiation therapy. Patient has a history of breast cancer, treated with surgery and chemotherapy. She is ambulatory and requires no oxygen supplementation. Patient is alert and oriented.

History of Events

Timeline:
0800 hours: Patient received breakfast, no issues
0900 hours: Routine check-up, stable vitals
1000 hours: Transfer order received from oncologist
1030 hours: Transfer request initiated to dispatch
1100 hours: Current time, patient is prepared for transfer

Prior Events: Patient underwent a mastectomy 3 months ago, followed by chemotherapy. No recent complications. She has been in Akureyri Hospital for the past 10 days. Last medical check-up this morning, all vitals stable. No new symptoms reported. Patient has been mobile and eating well.

Diagnostics

Initial Assessment

Initial Impression: Stable Post-Operative Oncology Patient for Routine Transfer
Justification for F4 Classification:
- Patient is clinically stable with no acute medical issues
- Transfer is planned and non-urgent, for specialized treatment
- No time-sensitive intervention required

Differential Diagnoses:
1. Stable post-operative status (primary condition)
2. No other acute conditions to consider at this time

Required Actions:
- Scheduled transfer via ground ambulance with BLS capabilities
- Coordination with receiving hospital in Reykjavik
- Patient comfort and safety during transfer

Final Diagnosis

Final Diagnosis: Stable Post-Operative Breast Cancer Patient for Scheduled Transfer
Key Findings:
- Patient remained stable throughout the transfer process
- No changes in vital signs or clinical status
- Transfer completed without incident

Outcome validated F4 priority assignment. Transfer was routine and without complications. Patient received planned radiation therapy in Reykjavik.

Learning Points:
1. F4 classification was appropriate for this stable patient transfer
2. Pre-transfer assessment accurately reflected patient's condition
3. Clear communication and coordination between hospitals facilitated a smooth transfer

Emergency Call Transcript

Dispatcher Emergency dispatch, what is your request?

Caller Hello, this is Hildur Jónsdóttir from the oncology ward at Akureyri Hospital. We need to arrange a routine transfer for a patient to Reykjavik.

Dispatcher Okay, can you provide the patient's details and current status?

Caller Yes, the patient is Hildur Jónsdóttir, kennitala ******-****. She is a 68-year-old female, post-operative breast cancer patient. She's stable, no acute issues, and needs to go to Reykjavik for radiation therapy.

Dispatcher Understood. Is she currently in bed, or ambulatory?

Caller She is ambulatory and can walk to the ambulance. She has no oxygen or IV lines. She has no pain or discomfort.

Dispatcher Okay, this sounds like a routine F4 transfer. We'll schedule a ground ambulance for you within the next 1-4 hours. Is there anything else?

Caller No, that is all. Please let us know when the ambulance is on its way. Thank you.

Dispatcher You're welcome, we will call you shortly. Goodbye.