Emergency Scenario 600_f4

Location Information

Full Location:

Hlíðarvegur 14, 600 Akureyri, third floor apartment 3B. A five-story concrete apartment building built in 1985. The main entrance has a key code. There is one elevator and a central stairwell. Parking is available on the street. The building has a fire alarm system. Current weather conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 65.6795° N, 18.0978° W. Nearest landmark: Glerártorg shopping center.

Municipality: Akureyri

Postal Code: 600

Emergency Details

Type: Dialysis Patient Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

65-year-old female, scheduled dialysis patient needing transport from home to Akureyri Hospital. Patient is stable, ambulatory with assistance, and requires no acute medical intervention during transport. Patient has end-stage renal disease and is on a thrice-weekly dialysis schedule. No acute complaints at the time of the call. Patient is awaiting transport for her regular scheduled dialysis appointment.

History of Events

Timeline:
0800 hours: Patient woke up feeling well, had a light breakfast.
0900 hours: Patient took her usual medications.
1000 hours: Patient contacted transport services for her scheduled dialysis appointment.
1015 hours: Current time, patient is ready for transport. No changes in condition since waking up. Patient has been dialyzing regularly for the past 3 years. No recent hospitalizations or changes in her health status other than her chronic kidney disease. Last dialysis session was two days ago, uneventful. No reported falls, chest pain, shortness of breath, or other acute symptoms.

Diagnostics

Initial Assessment

Initial Impression: Scheduled Dialysis Patient Transport
Justification for F4 Classification:
- Patient is stable, has no acute medical complaints, and requires routine transport for scheduled dialysis.
- No time-critical medical needs are apparent.
- Patient is ambulatory with assistance and does not require any medical intervention during transport.

Differential Diagnoses:
1. Stable chronic kidney disease requiring routine dialysis (primary diagnosis)
2. Possible intercurrent illness (low probability based on caller report)
3. Hypotension or hypertension (unlikely, no reported symptoms)
4. Hypoglycemia or hyperglycemia (unlikely, no reported symptoms)

Required Actions:
- Dispatch of non-emergency transport service with basic life support capabilities.
- Ensure patient's dialysis schedule is confirmed with the hospital.
- Confirm patient's mobility and need for assistance during transport.

Final Diagnosis

Final Diagnosis: Stable End-Stage Renal Disease requiring Scheduled Hemodialysis
Key Findings:
- Patient arrived at the dialysis unit stable with no acute changes in condition during transport.
- Patient's pre-dialysis assessment was consistent with her chronic condition.
- No unexpected findings were noted during or after dialysis.

Outcome validated the F4 priority assignment. Routine transport was appropriate and uneventful. Patient's chronic condition was well-managed.

Learning Points:
1. F4 classification appropriate for stable patients requiring scheduled transport.
2. Dispatch protocols for routine transfers are adequate for this type of case.
3. No need for advanced medical intervention during transport.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Good morning, this is Guðrún Jónsdóttir. I need a transport to my dialysis appointment at the hospital.

Dispatcher Okay, can you please provide your address?

Caller Yes, it's Hlíðarvegur 14, apartment 3B, third floor in Akureyri.

Dispatcher And can you please confirm your social security number?

Caller It's ******-****.

Dispatcher Thank you. Are you feeling okay this morning?

Caller Yes, I'm feeling fine, just like usual. I need to get to my dialysis appointment.

Dispatcher Okay, we'll arrange a transport for you. It will be a routine transport, so please expect it within the next 1 to 4 hours. Is there anything else?

Caller No, that's all. Thank you.

Dispatcher You're welcome. A transport will be in touch soon.