Emergency Scenario 600_f4

Location Information

Full Location:

Hlíðarvegur 17, 600 Akureyri, first floor, room 104. Single-story rehabilitation center building built in 2005. Main entrance is wheelchair accessible with automatic doors. Multiple hallways and patient rooms. Parking available in front of the building. Building has a fire alarm system and sprinkler system. Current conditions: 7°C, clear skies, good visibility. GPS coordinates: 65.6748° N, 18.0892° W. Nearest landmark: Akureyri Hospital.

Municipality: Akureyri

Postal Code: 600

Emergency Details

Type: Rehabilitation Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

78-year-old male, post-stroke rehabilitation patient, stable condition. Transfer from rehabilitation center in Akureyri to his residence in the same city. Patient is wheelchair-bound, requires assistance with transfers. Patient has a history of left-sided hemiparesis, stable vital signs. Patient is alert and oriented. Primary need is safe and comfortable transport. No acute medical issues reported. Patient has a PEG tube for feeding but no active infusion during transfer. Patient has a urinary catheter.

History of Events

Timeline:
0800 hours: Patient completed morning rehabilitation exercises.
0900 hours: Patient received breakfast via PEG tube.
1000 hours: Patient is stable and ready for transfer.
1015 hours: Nursing staff contacted dispatch for routine transfer.

Prior Events: Patient admitted to rehabilitation center 3 weeks ago following a stroke. Patient has made good progress in rehabilitation. No recent medical complications. Patient is now deemed stable for transfer back to his residence. Patient requires a wheelchair-accessible vehicle and assistance with transfers.

Diagnostics

Initial Assessment

Initial Impression: Stable Post-Stroke Rehabilitation Transfer
Justification for F4 Classification:
- Patient is stable with no acute medical issues.
- Transfer is routine and not time-sensitive.
- Patient requires transportation and assistance but not immediate medical intervention.

Differential Diagnoses:
1. Stable Post-Stroke Patient (primary concern)
2. Potential for transfer-related complications (low probability)

Required Actions:
- Dispatch of non-emergency transport with wheelchair accessibility.
- Ensure safe and comfortable transport for the patient.
- Monitor patient's condition during transfer but no active medical care required.

Final Diagnosis

Final Diagnosis: Stable Post-Stroke Patient for Routine Transfer
Key Findings:
- Patient's vital signs remained stable throughout the transfer.
- Patient tolerated transfer well with no complications.
- Patient arrived safely at his residence.

Outcome validated F4 priority assignment. Routine transfer was appropriate. Patient was comfortable and safe during transport.

Learning Points:
1. F4 classification appropriate for routine, stable transfers.
2. Initial assessment accurately identified the lack of acute medical needs.
3. Focus on safe and comfortable transport is essential for these types of cases.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Guðrún from the rehabilitation center. We need a transport for a patient back home.

Dispatcher Okay, what is the patient's name and location?

Caller The patient is Jón Einarsson, and we are at Hlíðarvegur 17, room 104.

Dispatcher And what is the patient's condition?

Caller He is stable, post-stroke. He is in a wheelchair and needs help with transfers. He has a PEG tube and a urinary catheter, but no active infusions.

Dispatcher Is this an emergency transfer?

Caller No, it's routine. He is ready to go home. We just need transport.

Dispatcher Okay, I will schedule a non-emergency transport for him. Please wait for further instructions.

Caller Thank you, we will wait.