Emergency Scenario 700_f4

Location Information

Full Location:

Héraðssjúkrahúsið í Austurlandi, Spítalavegur 1, 700 Egilsstaðir, second floor oncology ward. Modern hospital building constructed in 2005. Main entrance is wheelchair accessible, with a designated ambulance bay. Multiple elevators and stairwells. Hospital has a security system with restricted access to certain areas. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.2669° N, 14.3956° W. Nearest landmark: Egilsstaðir Airport.

Municipality: Egilsstaðir

Postal Code: 700

Emergency Details

Type: Oncology Patient Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

78-year-old female, oncology patient, scheduled transfer from Héraðssjúkrahúsið í Austurlandi to Landspítali in Reykjavík for specialized treatment. Patient is stable, conscious, and reports no acute symptoms. She is ambulatory with minimal assistance. Medical history: Metastatic breast cancer diagnosed 2 years ago, hypertension, type 2 diabetes. Medications: Letrozole 2.5mg daily, Metformin 500mg twice daily, Amlodipine 5mg daily. Allergies: No known allergies. Last meal was lunch at 12:00.

History of Events

Timeline:
1300 hours: Patient completed routine oncology follow-up, decision made for transfer to Landspítali.
1315 hours: Patient prepared for transfer, all necessary documentation and medications collected.
1330 hours: Transfer request initiated by oncology nurse.
1335 hours: Current time, patient awaiting transport. Patient has been stable throughout the day. No changes in condition reported. Patient has been monitored for any adverse reactions to medications and no issues have arisen. Patient is ambulatory and comfortable.

Prior Events: Patient has been receiving treatment at Héraðssjúkrahúsið í Austurlandi for the past two years. No recent hospitalizations or acute issues. Last chemotherapy session was 2 weeks ago, with no significant side effects. Patient has been closely monitored by the oncology team.

Diagnostics

Initial Assessment

Initial Impression: Stable Oncology Patient Transfer
Justification for F4 Classification:
- Patient is stable with no acute symptoms or life-threatening conditions.
- Transfer is scheduled and non-urgent, for specialized treatment at a tertiary facility.
- Patient is ambulatory, conscious, and has no reported changes in condition.

Differential Diagnoses:
1. Stable Metastatic Breast Cancer (primary condition)
2. Controlled Hypertension (stable on medication)
3. Controlled Type 2 Diabetes (stable on medication)
4. No acute or emergent conditions indicated.

Required Actions:
- Coordination of routine patient transfer with ambulance service.
- Confirmation of patient stability and transfer readiness.
- Ensuring all medical records and medications are included in transfer.
- Scheduled transport to Landspítali within the next 1-4 hours.

Final Diagnosis

Final Diagnosis: Stable Oncology Patient for Scheduled Transfer
Key Findings:
- Patient remained stable throughout the transfer process.
- All vital signs were within normal limits upon arrival at Landspítali.
- No adverse events or complications during transport.

Outcome validated F4 priority assignment. The transfer was successfully completed without any medical emergencies. Patient was admitted to Landspítali for scheduled treatment.

Learning Points:
1. F4 classification was appropriate for this routine transfer of a stable patient.
2. Thorough documentation and pre-transfer assessment ensured a smooth process.
3. Good communication between the referring and receiving hospitals was crucial for successful transfer.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Hildur Jónsdóttir, oncology nurse at Héraðssjúkrahúsið í Austurlandi. We need to arrange a routine transfer for one of our patients to Landspítali in Reykjavík.

Dispatcher Okay, can you provide me with the patient's details and reason for transfer?

Caller The patient is a 78-year-old female, name is Guðrún Ólafsdóttir, kennitala is ******-****. She has metastatic breast cancer and needs specialized treatment at Landspítali. She's stable and ready for transfer.

Dispatcher Is she experiencing any pain or discomfort?

Caller No, she's stable and comfortable. She's ambulatory with minimal assistance. No acute symptoms or issues.

Dispatcher Okay, is she on any medications?

Caller Yes, she's on Letrozole, Metformin, and Amlodipine. We have all the necessary documentation and medications ready for transfer.

Dispatcher Understood. This will be classified as a routine transfer. We will arrange transport within the next 1-4 hours. Is there anything else?

Caller No, that's all. Thank you for your help.