Emergency Scenario 700_f4

Location Information

Full Location:

Hlíðarvegur 17, 700 Egilsstaðir, ground floor apartment. Single-story residential building constructed in 1985. Main entrance is accessible via a ramp. No elevator. Street parking available. Building equipped with smoke detectors. Current conditions: 8°C, overcast, moderate visibility. GPS coordinates: 65.2666° N, 14.3947° W. Nearest landmark: Egilsstaðir Airport.

Municipality: Egilsstaðir

Postal Code: 700

Emergency Details

Type: Rehabilitation Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

72-year-old female, post-stroke rehabilitation transfer. Patient is stable, requires transport from rehabilitation facility at Héraðssjúkrahúsið í Austurland to her home. Patient is wheelchair-bound, non-ambulatory. Primary symptoms: Right-sided hemiparesis, mild aphasia. Secondary symptoms: None reported. Patient is alert and cooperative. Medical history: Ischemic stroke 3 months ago, hypertension, type 2 diabetes. Medications: Aspirin 75mg daily, Lisinopril 10mg daily, Metformin 500mg twice daily, Atorvastatin 20mg daily. No known allergies. Last meal was lunch at 12:00.

History of Events

Timeline:
0800 hours: Patient completed morning rehabilitation session.
1200 hours: Patient ate lunch. No issues reported.
1300 hours: Transfer to home requested by rehab staff.
1400 hours: Current time, patient is ready for transfer, awaiting transport.

Prior Events: Patient was hospitalized for stroke 3 months ago. Has been undergoing intensive rehabilitation with steady progress. Patient is now medically stable for discharge home. No recent changes in medical status. Patient lives alone, but has home health care support scheduled.

Diagnostics

Initial Assessment

Initial Impression: Post-Stroke Rehabilitation Transfer, Stable
Justification for F4 Classification:
- Patient is medically stable, no acute medical issues present.
- Transfer is for routine discharge, not an emergency.
- Patient is non-ambulatory, requiring assistance with transport.
- No immediate medical interventions required during transfer.

Differential Diagnoses:
1. Post-Stroke Hemiparesis (confirmed)
2. Hypertension (stable, managed with medication)
3. Type 2 Diabetes (stable, managed with medication)

Required Actions:
- Dispatch of transport service with wheelchair capabilities.
- Ensuring patient comfort and safety during transfer.
- Confirmation of home health care arrangements.

Final Diagnosis

Final Diagnosis: Stable Post-Stroke Patient for Routine Transfer
Key Findings:
- Patient's vital signs were within normal limits throughout the transfer process.
- No new symptoms or complications arose during transport.
- Patient arrived home safely without any adverse events.

Outcome validated F4 priority assignment. Routine transport was appropriate given the patient's stable condition and discharge plan.

Learning Points:
1. F4 classification was accurate for this stable rehabilitation transfer.
2. Detailed medical history and clear communication between facility and transport team ensured a smooth transfer process.
3. Routine transfers require careful coordination but do not necessitate emergency response.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Guðrún calling from Héraðssjúkrahúsið. We need a transfer for a patient.

Dispatcher Okay, what is the patient's name and where are they going?

Caller The patient is Guðrún Jónsdóttir, kennitala ******-****. She needs to go to Hlíðarvegur 17 in Egilsstaðir.

Dispatcher What is the patient's condition?

Caller She is stable, post-stroke. She's wheelchair-bound and has some weakness on her right side. It's a routine discharge transfer.

Dispatcher Does she have any medical conditions?

Caller Yes, she had a stroke three months ago, has high blood pressure and type 2 diabetes. She is on medications for these.

Dispatcher Okay, I'm arranging a routine transfer. Is she ready to go now?

Caller Yes, she is ready and waiting. Thank you.

Dispatcher You're welcome. A transport team will be there within the next few hours.