Emergency Scenario 600_f4

Location Information

Full Location:

Hlíðarvegur 2, 600 Akureyri, first floor apartment 1B. A three-story concrete apartment building built in 1985. Main entrance is accessible via a ramp and a set of stairs. One elevator and central stairwell available. Street parking. Building has a basic fire alarm system. Weather: 7°C, overcast, good visibility. GPS coordinates: 65.6734° N, 18.0856° W. Nearest landmark: Akureyri Hospital.

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 male, end-stage renal disease, requires routine transport for scheduled dialysis treatment. Patient is stable, conscious, and cooperative. No acute symptoms reported. Patient is seated in a chair, awaiting transport. Medical history includes type 2 diabetes, hypertension, and chronic kidney disease. No known allergies. Medications include insulin, amlodipine, and erythropoietin. Last meal was a light lunch at 12:00. Dialysis appointment scheduled for 16:00.

History of Events

Timeline:
14:00 hours: Patient completed lunch and is prepared for transport to dialysis center.
14:15 hours: Patient called for transport services.
14:20 hours: Current time, patient awaiting ambulance.

Prior Events: Patient has been receiving dialysis treatment three times a week for the past 2 years. No recent changes in health status. Last dialysis session was two days ago. Regular medical check-ups every three months. Patient lives alone, but has family nearby.

Diagnostics

Initial Assessment

Initial Impression: Routine Dialysis Patient Transfer
Justification for F4 Classification:
- Patient is stable with no acute symptoms or medical concerns
- Transport is for a scheduled procedure
- No immediate threat to life or limb

Differential Diagnoses:
1. Stable Chronic Kidney Disease (primary condition)
2. Potential for minor complications during transport (low probability)

Required Actions:
- Dispatch of a non-emergency transport ambulance
- Verification of dialysis appointment time and location
- Safe and comfortable transport of patient to dialysis center

Final Diagnosis

Final Diagnosis: Stable Chronic Kidney Disease, Routine Dialysis Transfer
Key Findings:
- Patient's vital signs were within normal limits upon arrival of transport team
- No changes in patient's condition during transport
- Patient arrived at dialysis center on time for scheduled treatment

Outcome validated F4 priority assignment. Routine transport was appropriate and uneventful.

Learning Points:
1. F4 classification was correct, as the patient was stable and the transfer was routine.
2. No additional medical interventions were required during the transport.
3. Pre-planning and coordination with the dialysis center are crucial for successful transfers.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Hello, this is Jónas Einarsson. I need transport to my dialysis appointment.

Dispatcher Okay, what is your address?

Caller It's Hlíðarvegur 2, apartment 1B, first floor in Akureyri.

Dispatcher And what time is your appointment?

Caller It's at 16:00, I need to be there before then.

Dispatcher Okay, can you confirm your name and social security number?

Caller Yes, it's Jónas Einarsson, kennitala ******-****.

Dispatcher Okay, is there anything else I need to know?

Caller No, I'm just waiting here, I'm ready to go when you are.

Dispatcher Okay, we'll dispatch a transport ambulance. They will be there within 1-4 hours. Please remain at your residence.

Caller Thank you.