Emergency Scenario 700_f4

Location Information

Full Location:

Hólsvegur 1, 700 Egilsstaðir, first floor apartment 103. Three-story residential building constructed in 1995. Main entrance is accessible by ramp. One elevator and central stairwell. Parking available on the street. Building equipped with a basic fire alarm system. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2672° N, 14.3937° W. Nearest landmark: Egilsstaðir swimming pool.

Municipality: Egilsstaðir

Postal Code: 700

Emergency Details

Type: Geriatric Care Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

85-year-old female, needs routine transfer from home to the geriatric care unit at the health center. Patient is stable, alert, and oriented. Primary reason for transfer: Scheduled admission for observation and medication adjustment. Patient is mobile with a walker. No acute symptoms. Patient reports feeling well and is cooperative. Secondary symptoms: None reported. Patient is sitting in her living room, ready for transport. Medical history: Type 2 diabetes, hypertension, mild dementia. Medications: Metformin 500mg twice daily, Lisinopril 10mg daily, Donepezil 5mg daily. No known allergies. Last meal was a light lunch at 12:00.

History of Events

Timeline:
1200 hours: Patient had lunch
1300 hours: Patient completed daily activities
1400 hours: Patient prepared for scheduled transfer, no changes in condition
1415 hours: Patient is ready for transport

Prior Events: Patient has been living at home with assistance from home care services. Recent medical check-up 1 week ago, routine follow-up. Scheduled admission for observation due to medication management concerns. Patient has been stable and has had no recent falls or acute health issues.

Diagnostics

Initial Assessment

Initial Impression: Routine Geriatric Transfer
Justification for F4 Classification:
- Patient is stable, alert, and oriented with no acute symptoms
- Transfer is scheduled and non-urgent
- No immediate medical intervention required during transport

Differential Diagnoses:
- No acute conditions present, no differential diagnoses to consider for this transfer

Required Actions:
- Dispatch of basic life support (BLS) ambulance for routine transfer
- Ensure patient comfort and safety during transport
- Transport to the geriatric care unit at the health center

Final Diagnosis

Final Diagnosis: Routine Geriatric Transfer Confirmed
Key Findings:
- Patient arrived at the geriatric care unit without any complications
- Patient's vital signs remained stable during transport
- No changes in patient's condition during the transfer

Outcome validated F4 priority assignment. Routine transport was appropriate for this case. Patient was admitted without incident.

Learning Points:
1. F4 classification appropriate due to the non-urgent nature of the transfer
2. Dispatch protocols for routine transfers were followed correctly
3. No unexpected events occurred during the transport

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Hello, this is Guðrún Jónsdóttir. I am calling to confirm the scheduled transfer for my mother, Jónína Sigurðardóttir. She is ready for transport to the geriatric unit.

Dispatcher Okay, can you please confirm her address and social security number?

Caller Yes, it is Hólsvegur 1, apartment 103, in Egilsstaðir. Her social security number is ******-****.

Dispatcher Thank you. Can you confirm she is stable and ready for transport?

Caller Yes, she is stable, alert, and sitting in her living room. She is using her walker and is ready to go.

Dispatcher Okay, we have a transport team on its way. They will be there within the next few hours. Is there anything else we should know?

Caller No, that is all. Thank you for your help.

Dispatcher You're welcome. We will see you soon.