Sjúkrahúsið á Akureyri, Eyrarlandsvegur, 600 Akureyri. Main hospital building, second floor, surgical ward. Modern concrete construction. Main entrance with automatic doors. Multiple elevators and stairwells. Ample parking available. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6659° N, 18.0864° W. Nearest landmark: Akureyri Hospital.
68-year-old male, post-operative transfer from Akureyri Hospital to rehabilitation center in Húsavík. Patient is stable following a total hip replacement surgery 3 days ago. Primary symptoms: Mild post-operative pain, stable vital signs. Patient is ambulatory with assistance. Secondary symptoms: None. Patient is alert, oriented, and cooperative. Medical history: Osteoarthritis, hypertension, hyperlipidemia. Medications: Paracetamol 1000mg every 6 hours, Rivaroxaban 10mg daily, Atorvastatin 20mg daily, Amlodipine 5mg daily. No known allergies. Last meal was lunch at 12:00.
Timeline: 0700 hours: Patient received morning medications and breakfast. 0900 hours: Patient was assessed by the physiotherapist and completed light exercises. 1100 hours: Patient was reviewed by the surgical team and deemed stable for transfer. 1200 hours: Patient had lunch. 1300 hours: Current time, patient awaiting transfer to rehabilitation center. Prior Events: Patient underwent elective total hip replacement surgery 3 days ago. Post-operative course has been uneventful with stable vital signs and no complications. Patient has been ambulating with a walker and is compliant with physiotherapy. No recent illnesses or injuries. Last medical check-up was pre-operative assessment 1 week ago.
Initial Impression: Stable Post-Operative Patient for Routine Transfer Justification for F4 Classification: - Patient is stable with no acute symptoms or complications. - Transfer is routine and non-urgent. - Patient is ambulatory with assistance and requires no immediate medical intervention during transport. Differential Diagnoses: 1. Post-Operative Pain (mild, controlled with medication) 2. Post-Operative Infection (low probability, no signs of infection) 3. Deep Vein Thrombosis (low probability, patient is on prophylactic anticoagulation) 4. Pulmonary Embolism (low probability, no signs of respiratory distress) Required Actions: - Arrangement of non-emergency transport with appropriate equipment for patient comfort and safety. - Transfer of patient's medical records and medications to the rehabilitation center. - Communication with the receiving facility regarding patient's condition and transfer details.