Emergency Scenario 700_f4

Location Information

Full Location:

Hótel Hérað, Miðgarður 1, 700 Egilsstaðir, Ground floor, room 104. A two-story concrete building, constructed in 1950 and renovated in 2018. Main entrance is accessible via a ramp, secondary entrance at the rear of the building. No security codes needed. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 65.2667° N, 14.3933° 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:

78-year-old male, post-stroke rehabilitation patient, stable condition, scheduled transfer from Hótel Hérað to rehabilitation center in Reykjavík. Patient is alert, cooperative, and requires assistance with mobility. Primary symptoms: Residual left-sided weakness post-stroke. Secondary symptoms: None reported. Patient is sitting in a chair, ready for transfer. Medical history: Ischemic stroke 3 months ago, hypertension, type 2 diabetes. Medications: Aspirin 75mg daily, Metformin 500mg twice daily, Lisinopril 10mg daily. No known allergies. Last meal was breakfast at 08:00.

History of Events

Timeline:
0700 hours: Patient woke up, had breakfast
0800 hours: Patient received morning medications
0900 hours: Patient was assisted with dressing and personal care
1000 hours: Patient is sitting in chair, ready for transfer
1015 hours: Call made to request ambulance for transfer

Prior Events: Patient had a stroke 3 months ago, has been undergoing rehabilitation at Hótel Hérað for 2 months. Patient has shown steady improvement in mobility and strength. No recent complications. Last medical check-up 1 week ago, routine follow-up. Patient is accompanied by a nurse from the hotel.

Diagnostics

Initial Assessment

Initial Impression: Stable post-stroke rehabilitation transfer
Justification for F4 Classification:
- Patient is stable with no acute medical issues
- Transfer is pre-planned and routine
- No immediate medical intervention required
- Patient requires assistance with mobility, but is otherwise stable

Differential Diagnoses:
1. Stable post-stroke condition (primary)
2. No other acute medical conditions suspected

Required Actions:
- Dispatch of non-emergency transport vehicle with appropriate equipment for patient transfer
- Ensure patient comfort and safety during transport
- Coordinate with receiving facility for arrival time

Final Diagnosis

Final Diagnosis: Stable post-stroke rehabilitation patient, ready for transfer
Key Findings:
- Patient's vital signs were within normal limits
- No changes in neurological status since last assessment
- Patient reported no new symptoms or concerns
- Physical examination showed expected residual left-sided weakness

Outcome validated F4 priority assignment. Transfer was completed smoothly without incident. Patient arrived at rehabilitation center in stable condition.

Learning Points:
1. F4 classification was appropriate given the patient's stable condition and routine nature of transfer
2. Pre-planning and communication between facilities were essential for a successful transfer
3. Detailed medical history and transfer requirements ensured a smooth and safe transport

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Hello, this is Jónína from Hótel Hérað. We need an ambulance for a patient transfer.

Dispatcher Okay, what is the patient's condition and where are they being transferred to?

Caller The patient is a 78-year-old male, post-stroke, stable. He's being transferred to the rehabilitation center in Reykjavík.

Dispatcher Is this a routine transfer, or is there an acute medical issue?

Caller It's a routine transfer. He's stable, but he does have some left-sided weakness from the stroke.

Dispatcher Okay, what is the address of your location?

Caller We are at Hótel Hérað, Miðgarður 1, in Egilsstaðir, room 104.

Dispatcher Okay, I'll arrange for a non-emergency transport. Can you confirm his medications?

Caller Yes, he takes Aspirin 75mg daily, Metformin 500mg twice daily, and Lisinopril 10mg daily.

Dispatcher Thank you. The transport will be there within the next few hours. Please have him ready.

Caller Okay, we will. Thank you for your help.