Emergency Scenario 690_f4_2

Location Information

Hafnarbraut 14, 690 Vopnafjörður, ground floor apartment 1B. Two-story wooden residential building built in 1968. Main entrance has a small ramp, no elevator. Street parking available. Building equipped with smoke detectors. Current conditions: 3°C, overcast, light snow, good visibility. GPS coordinates: 65.7612° N, 14.8304° W. Nearest landmark: Vopnafjörður harbor.

Emergency Details

70-year-old male, stable dialysis patient requiring routine transfer to the dialysis center in Egilsstaðir. Patient is alert and oriented, no acute symptoms. Patient has end-stage renal disease, on maintenance hemodialysis three times a week. Transfer is for scheduled dialysis appointment. Patient is wheelchair-bound. Patient reports feeling well. No pain or discomfort. No recent medical issues or changes in condition. Patient is currently at home.

History of Events

Timeline:
0800 hours: Patient woke up feeling well, took morning medications.
0830 hours: Patient had a light breakfast.
0900 hours: Patient prepared for transfer.
0930 hours: Patient contacted the transport service for scheduled pick up.
0935 hours: Transport service requested ambulance due to wheelchair requirement.
0940 hours: Current time, patient is awaiting transport.

Prior Events: Patient has been on regular hemodialysis for 3 years. No recent hospitalizations. Last dialysis session was two days ago, uneventful. No known allergies. Medications include: Erythropoietin, Calcium Carbonate, Vitamin D, antihypertensives. Patient's last medical check-up was one week ago, routine follow-up.

Diagnostics

Initial Assessment

Initial Impression: Stable Dialysis Patient Transfer
Justification for F4 Classification:
- Patient is stable, no acute symptoms or medical concerns
- Routine transfer for scheduled dialysis appointment
- No life-threatening conditions or urgent needs

Differential Diagnoses:
1. Routine dialysis patient transfer (primary diagnosis)
2. Potential complications related to dialysis access (AV fistula/graft) - low probability
3. Fluid overload or electrolyte imbalance - low probability

Required Actions:
- Dispatch of a BLS ambulance with appropriate transport equipment
- Ensure patient comfort during transfer
- Monitor vital signs during transfer
- Transport to the dialysis center in Egilsstaðir

Final Diagnosis

Final Diagnosis: Routine Dialysis Patient Transfer
Key Findings:
- Patient remained stable throughout the transfer
- No changes in vital signs or condition
- Dialysis session was completed successfully

Outcome validated F4 priority assignment. Transfer was completed without incident. Patient reported feeling well after dialysis.

Learning Points:
1. F4 classification appropriate due to the non-urgent and stable nature of the transfer
2. Initial assessment accurately reflected the patient's condition
3. Routine transfer protocols were followed without complications

Emergency Call Transcript