Emergency Scenario 600_f4

Location Information

Full Location:

Hlíðarvegur 2, 600 Akureyri, nursing home, room 312. Single-story concrete building built in 1995. Main entrance is accessible via ramp and automatic doors. Corridors are wide and well-lit. Building has a fire alarm system and emergency exits. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6754° N, 18.0912° 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:

82-year-old male, requires transfer from Akureyri nursing home to the rehabilitation center at Reykjalundur. Patient is stable, alert, and oriented. He has completed his acute care phase after a recent stroke. Primary need is transfer for continued rehabilitation. Patient is wheelchair-bound. Requires assistance with transfers. Secondary concerns: Patient has mild expressive aphasia. Medical history: Ischemic stroke three weeks ago, hypertension, type 2 diabetes. Medications: Aspirin 75mg daily, Metformin 500mg twice daily, Ramipril 5mg daily. No known allergies. Last meal was lunch at 12:00.

History of Events

Timeline:
0800 hours: Patient had breakfast at the nursing home.
1000 hours: Patient attended a physiotherapy session.
1200 hours: Patient had lunch at the nursing home.
1300 hours: Patient is stable and ready for transfer to Reykjalundur rehabilitation center.
1315 hours: Nursing staff contacted dispatch for transport.

Prior Events: Patient suffered an ischemic stroke three weeks ago. He was hospitalized for acute care and has now been cleared for rehabilitation. He has made progress with mobility and speech but requires ongoing therapy. No recent changes in his medical condition. Last medical check-up was yesterday at the nursing home.

Diagnostics

Initial Assessment

Initial Impression: Stable patient requiring rehabilitation transfer.
Justification for F4 Classification:
- Patient is stable and not in acute distress.
- Transfer is pre-planned and non-urgent.
- No acute medical issues requiring immediate attention.

Differential Diagnoses:
1. Post-stroke rehabilitation needs (primary concern)
2. Stable chronic conditions (hypertension, diabetes)
3. Potential for transfer-related complications (minor)

Required Actions:
- Dispatch of non-emergency transport vehicle with wheelchair capabilities.
- Ensure patient comfort and safe transfer.
- Communication with nursing staff at both facilities for handover.

Final Diagnosis

Final Diagnosis: Post-Ischemic Stroke Rehabilitation Transfer.
Key Findings:
- Patient was stable throughout the transfer.
- No acute medical events occurred during transport.
- Patient's vital signs remained within normal limits.
- Rehabilitation needs were accurately assessed and communicated.

Outcome validated F4 priority assignment. Patient was successfully transferred to Reykjalundur for continued rehabilitation.

Learning Points:
1. F4 classification appropriate for planned, non-urgent transfers.
2. Detailed medical history and transfer requirements are essential for safe patient transport.
3. Clear communication between dispatch, sending facility, and receiving facility is critical.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Hello, this is Hildur Jónsdóttir from Hlíðarvegur nursing home. We need a transfer for a patient to Reykjalundur.

Dispatcher Okay, can you give me the patient's details and the reason for the transfer?

Caller The patient's name is Jón Einarsson, born on April 15, 1978. He needs to be transferred to Reykjalundur for rehabilitation. He is stable but wheelchair-bound.

Dispatcher Can you confirm the address and room number?

Caller Yes, it's Hlíðarvegur 2, room 312 in Akureyri.

Dispatcher Is he stable and alert?

Caller Yes, he is stable, alert, and oriented. He had a stroke three weeks ago and has completed his acute care. He just needs transport for his rehabilitation.

Dispatcher Does he have any other medical conditions or allergies?

Caller He has hypertension and type 2 diabetes. He takes Aspirin, Metformin, and Ramipril. No known allergies. He had lunch at 12:00.

Dispatcher Okay, a transport team will be dispatched within the next 1-4 hours. Please have his paperwork ready.

Caller Understood, thank you. We will be waiting.