Emergency Scenario 640_f4

Location Information

Full Location:

Heiðarvegur 10, 640 Húsavík, First floor, Room 102. Single-story concrete building, built in 2005. Main entrance is accessible via ramp. No security codes. Parking available directly in front of building. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 66.0455° N, 17.3388° W. Nearest landmark: Húsavík Hospital.

Municipality: Húsavík

Postal Code: 640

Emergency Details

Type: Post-Operative Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

65-year-old female, post-operative day 3 following a total hip replacement. Patient is stable and afebrile. Requires transfer from Húsavík Hospital to Akureyri Hospital for ongoing rehabilitation. Patient is currently on oral analgesics for pain management. No acute medical issues reported. Patient is ambulatory with assistance.

History of Events

Timeline:
Day 1: Patient underwent total hip replacement surgery. No intraoperative complications.
Day 2: Patient ambulated with physical therapy, tolerated oral diet well, pain controlled with analgesics.
Day 3: Patient stable, ambulating with assistance, no new complaints. Scheduled for transfer to Akureyri Hospital for rehabilitation.

Prior Events: Patient has a history of osteoarthritis of the hip for 5 years. No history of cardiac or pulmonary disease. No known allergies. Medications: Paracetamol 1000mg QID, Oxycodone 5mg TID, Rivaroxaban 10mg daily. Last meal was a light breakfast at 08:00.

Diagnostics

Initial Assessment

Initial Impression: Post-Operative Hip Replacement, Stable for Transfer
Justification for F4 Classification:
- Patient is post-operative, stable, and requires routine transfer for ongoing care.
- No acute symptoms or vital sign abnormalities.
- Transfer is not time-critical and can be scheduled within 1-4 hours.

Differential Diagnoses:
1. Post-Operative Recovery (primary concern)
2. Post-Operative Infection (low probability, no fever or signs of infection)
3. Thromboembolic Event (low probability, patient on prophylactic anticoagulation)
4. Pain not controlled (low probability, pain is managed with oral medications)

Required Actions:
- Coordination of inter-facility transfer with appropriate documentation.
- Patient monitoring during transport.
- Pain management as needed during transport.

Final Diagnosis

Final Diagnosis: Stable Post-Operative Total Hip Replacement, Ready for Rehabilitation
Key Findings:
- Patient's vital signs remained stable throughout the transfer.
- No new symptoms developed during transfer.
- Patient arrived at Akureyri Hospital without complications.

Outcome validated F4 priority assignment. Routine transfer was appropriate for the patient's condition.

Learning Points:
1. F4 classification was accurate based on the patient's stable condition and routine transfer requirements.
2. Detailed communication between facilities ensured a smooth transfer.
3. Post-operative patients requiring routine transfers can be managed safely with pre-arranged transport.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Guðrún Jónsdóttir calling from Húsavík Hospital. We need to arrange a routine transfer for a patient to Akureyri Hospital.

Dispatcher Okay, I can assist with that. Can you provide the patient's details and reason for transfer?

Caller The patient is Guðrún Jónsdóttir, kennitala ******-****. She is post-operative day 3 following a total hip replacement and is stable for transfer to Akureyri for rehabilitation.

Dispatcher Understood. Can you confirm her current condition and any medications she is taking?

Caller She is stable, afebrile, and on oral analgesics. She's taking paracetamol 1000mg QID, oxycodone 5mg TID, and rivaroxaban 10mg daily. She is able to ambulate with assistance.

Dispatcher Okay, thank you for the information. We will arrange for a routine transfer within the next 1-4 hours. Is there anything else we need to know?

Caller No, that's all. We have all her paperwork and transfer documentation ready. We will be waiting for the ambulance.

Dispatcher Perfect. We will contact you when the transport team is on their way.