Emergency Scenario 600_f4

Location Information

Full Location:

Sjúkrahúsið á Akureyri, Eyrarlandsvegur, 600 Akureyri. Patient is in the rehabilitation ward on the 3rd floor, room 312. The hospital is a modern 5-story concrete structure with multiple entrances. The main entrance is on the south side. There are elevators and stairs available. Parking is available in the hospital parking lot. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6738° N, 18.0907° W. Nearest landmark: The hospital's main parking area.

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 patient, post-stroke rehabilitation transfer to a long-term care facility in Húsavík. Patient is stable, requires assistance with mobility and activities of daily living. No acute medical issues. Patient is alert and cooperative. Patient requires transport via ambulance due to mobility limitations. Medical history: Ischemic stroke 3 months ago, hypertension, type 2 diabetes. Medications: Aspirin 75mg daily, Metformin 500mg twice daily, Lisinopril 10mg daily. No known allergies. Last meal was lunch at 12:00.

History of Events

Timeline:
0900 hours: Patient completed morning therapy session, stable condition.
1000 hours: Transfer request initiated by rehabilitation team.
1300 hours: Current time, patient is ready for transfer. No changes in patient's condition since morning.

Prior Events: Patient admitted for stroke rehabilitation 3 months ago. Significant improvement in mobility and cognitive function. Patient requires ongoing care and monitoring. Patient is being discharged to a long-term care facility closer to his family. No recent illnesses or injuries. Last medical check-up yesterday, routine assessment.

Diagnostics

Initial Assessment

Initial Impression: Post-Stroke Rehabilitation Transfer
Justification for F4 Classification:
- Patient is stable with no acute medical concerns.
- Transfer is for long-term care placement, not for emergency medical care.
- Response time is flexible, within 1-4 hours.

Differential Diagnoses:
1. Stable post-stroke patient (primary diagnosis)
2. No other acute conditions are suspected

Required Actions:
- Arrange non-emergency ambulance transfer with appropriate equipment and personnel.
- Ensure patient's medication and transfer documents are included.
- Coordinate with long-term care facility for patient's arrival.

Final Diagnosis

Final Diagnosis: Stable Post-Stroke Patient for Rehabilitation Transfer
Key Findings:
- Patient's condition remained stable throughout the transfer process.
- No new medical issues or complications arose during transfer.
- Patient arrived at the long-term care facility without incident.

Outcome validated F4 priority assignment. Patient required transport only due to mobility issues. The transfer was completed successfully within the routine response time.

Learning Points:
1. F4 classification was appropriate given the patient's stable condition and routine transfer requirements.
2. Pre-transfer coordination was essential for a smooth transfer process.
3. Clear communication between the rehabilitation team and the transport crew is crucial for a successful transfer.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Hildur Jónsdóttir calling from the rehabilitation ward at Sjúkrahúsið á Akureyri. We need an ambulance for a patient transfer.

Dispatcher Okay, can you provide the patient's name and location?

Caller The patient is Guðmundur Einarsson, he is in room 312 on the third floor.

Dispatcher And what is the nature of the transfer?

Caller He is a post-stroke patient being transferred to a long-term care facility in Húsavík. He is stable but requires ambulance transport due to mobility issues.

Dispatcher Is he experiencing any medical issues at this time?

Caller No, he is stable. He's had his lunch and is ready to go. He just needs help with mobility.

Dispatcher Okay, we will arrange a routine transfer for him. It will be within the next 1-4 hours. Is there anything else?

Caller No, that's all. Thank you.