Emergency Scenario 690_f4

Location Information

Full Location:

Hafnarbraut 4, 690 Vopnafjörður, Single-story medical clinic. Concrete structure built in 1985. Main entrance is on the south side, easily accessible. No known security features. Weather is clear, 8°C, good visibility. Road conditions are dry and clear. GPS coordinates: 65.7712° N, 14.8364° W. Nearest landmark: Vopnafjörður harbor.

Municipality: Vopnafjörður

Postal Code: 690

Emergency Details

Type: Dialysis Patient Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

62-year-old female patient requiring routine transfer from Vopnafjörður medical clinic to Akureyri Hospital for scheduled dialysis treatment. Patient is stable, ambulatory, and has no acute complaints. Primary symptom: None, routine dialysis. Secondary symptoms: None. Patient is alert, oriented, and cooperative. No known allergies. Medical history: End-stage renal disease, hypertension, diabetes. Medications: Insulin, antihypertensives, phosphate binders. Last oral intake was a light breakfast at 08:00. Patient is prepared for transfer.

History of Events

Timeline:
0900 hours: Patient arrived at Vopnafjörður clinic for pre-transfer assessment
0915 hours: Assessment completed, patient deemed stable for transfer
0930 hours: Transfer request initiated
0945 hours: Current time, patient awaiting transport

Prior Events: Patient has been undergoing dialysis three times a week for the past 2 years. No recent changes in her medical condition. Last dialysis session was 2 days ago. No acute medical issues in the past month. Routine check-ups have been stable.

Diagnostics

Initial Assessment

Initial Impression: Routine Dialysis Transfer
Justification for F4 Classification:
- Patient is stable, with no acute medical complaints
- Transfer is for scheduled dialysis treatment, not an emergency
- No immediate risk to patient's health

Differential Diagnoses:
1. Stable ESRD patient requiring dialysis (primary diagnosis)
2. No other differential diagnoses are considered based on the patient's stable presentation.

Required Actions:
- Dispatch of non-emergency transport vehicle
- Ensure patient's medical records are available for receiving facility
- Ensure patient comfort during transport
- Coordinate transfer with Akureyri Hospital dialysis unit

Final Diagnosis

Final Diagnosis: Stable End-Stage Renal Disease requiring scheduled dialysis
Key Findings:
- Patient remained stable throughout the transfer process
- No new medical issues developed during transport
- Dialysis treatment was successfully completed at Akureyri Hospital

Outcome validated F4 priority assignment. Routine transport was appropriate. Patient received timely dialysis treatment without complications.

Learning Points:
1. F4 classification appropriate due to the routine nature of the transfer
2. Initial assessment accurately identified the stable nature of the patient's condition
3. Proper coordination between facilities ensured a smooth transfer process

Emergency Call Transcript

Dispatcher Emergency services, this is the dispatch center. What is your request?

Caller Good morning, this is Guðrún from the Vopnafjörður clinic. We need to arrange a routine transport for a dialysis patient to Akureyri.

Dispatcher Okay, can you provide the patient's details and current condition?

Caller The patient is Guðrún Jónsdóttir, kennitala ******-****. She is stable and ready for transport. It's a routine transfer for scheduled dialysis.

Dispatcher Is she having any issues or symptoms right now?

Caller No, she's stable and has no complaints. Just routine dialysis. She had a light breakfast at 08:00.

Dispatcher Alright, I'll schedule a non-emergency transport. Is there any medical history I should be aware of?

Caller Yes, she has end-stage renal disease, hypertension, and diabetes. She takes insulin, antihypertensives, and phosphate binders. We have her medical records ready.

Dispatcher Understood. We will coordinate with Akureyri Hospital. A transport team will arrive within the next few hours. Is the patient at Hafnarbraut 4?

Caller Yes, she is at Hafnarbraut 4, the clinic. Thank you.

Dispatcher You're welcome. Please ensure she is ready for transport when the team arrives.