Emergency Scenario 700_f4_13

Location Information

Hlíðarvegur 17, 700 Egilsstaðir, Single-story residential home built in 1990. Main entrance via front door, no stairs. Parking available on the street. No security features. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.2678° N, 14.3931° W. Nearest landmark: Egilsstaðir Swimming Pool.

Emergency Details

78-year-old female, post-stroke rehabilitation patient, currently at home. Requires transfer from home to rehabilitation center at Heilbrigðisstofnun Austurlands in Egilsstaðir. Patient is stable, requires assistance with mobility and activities of daily living. Patient is alert and cooperative, has mild left-sided weakness. No acute medical issues. Requires wheelchair transport. No pain or discomfort reported at this time.

History of Events

Timeline:
0800 hours: Patient woke up, had breakfast with assistance.
0900 hours: Patient completed morning hygiene with assistance.
1000 hours: Patient’s daughter called to arrange transfer to rehabilitation center.
1015 hours: Current time, patient is stable and awaiting transport.

Prior Events: Patient had a stroke 3 weeks ago, resulting in left-sided weakness. Has been recovering at home with support from family. No recent changes in medical condition. No recent hospitalizations or medical appointments. Patient has been compliant with medications and therapy. Patient has been stable since discharge from hospital.

Diagnostics

Initial Assessment

Initial Impression: Stable patient requiring routine rehabilitation transfer.
Justification for F4 Classification:
- Patient is stable with no acute medical issues.
- Transfer is for ongoing rehabilitation, not emergency medical care.
- Patient is not experiencing pain or distress.
- No risk of rapid deterioration anticipated.

Differential Diagnoses:
1. Post-stroke rehabilitation (primary condition)
2. No acute medical conditions present.

Required Actions:
- Dispatch of non-emergency transport service.
- Wheelchair transport required.
- Transfer to rehabilitation center at Heilbrigðisstofnun Austurlands in Egilsstaðir.

Final Diagnosis

Final Diagnosis: Post-stroke rehabilitation transfer confirmed.
Key Findings:
- Patient's condition remained stable throughout the transfer process.
- No changes in vital signs or neurological status.
- Patient arrived at rehabilitation center without complications.

Outcome validated F4 priority assignment. Routine transfer was appropriate for the patient's stable condition.

Learning Points:
1. F4 classification appropriate for planned rehabilitation transfers of stable patients.
2. Clear communication with family ensured smooth transfer process.
3. No need for urgent medical intervention or monitoring during transport.

Emergency Call Transcript