Emergency Scenario 700_f4

Location Information

Full Location:

Hótel Hérað, Miðvangur 5-7, 700 Egilsstaðir. A three-story hotel building with a main entrance facing Miðvangur. Built in 1950s, renovated in 2018. Accessible via a ramp at the main entrance and elevator inside. Street parking available. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2635° N, 14.3925° 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 female, post-stroke rehabilitation transfer from Hótel Hérað to the rehabilitation center at Heilbrigðisstofnun Austurlands in Egilsstaðir. Patient is stable, requires assistance with mobility. Primary symptoms: Left-sided hemiparesis, mild dysarthria. Patient is alert and cooperative. Patient is currently on the second floor of the hotel, room 212. Medical history: Ischemic stroke 3 months ago, hypertension, type 2 diabetes. Medications: Aspirin 75mg daily, Metformin 500mg twice daily, Ramipril 5mg daily. No known allergies. Last meal was lunch at 12:00.

History of Events

Timeline:
1400 hours: Patient completed physical therapy session at the hotel.
1415 hours: Patient is ready for transport to the rehabilitation center.
1430 hours: Caller (hotel nurse) called for transport.

Prior Events: Patient has been receiving rehabilitation therapy at the hotel for the past two weeks following her stroke. No recent changes in her medical condition. Patient has been stable throughout her stay. No recent falls or injuries. Last medical check-up 2 days ago, routine follow-up. Patient is accompanied by a hotel nurse.

Diagnostics

Initial Assessment

Initial Impression: Post-Stroke Rehabilitation Transfer
Justification for F4 Classification:
- Patient is stable and requires routine transfer for continued rehabilitation
- No acute medical issues reported
- Transfer is scheduled and non-emergent

Differential Diagnoses:
1. Stable post-stroke condition (most likely)
2. Potential for minor complications (low probability)

Required Actions:
- Dispatch of non-emergency transport with appropriate equipment for mobility assistance
- Confirmation of transfer paperwork and medical information
- Coordination with receiving facility for smooth transfer

Final Diagnosis

Final Diagnosis: Stable Post-Stroke Rehabilitation
Key Findings:
- Patient's condition was stable throughout the transfer
- No new medical issues were identified during transport
- Patient arrived at the rehabilitation center without incident

Outcome validated F4 priority assignment. Routine transfer was appropriate for the patient's condition. Patient was successfully transferred to the rehabilitation center for continued care.

Learning Points:
1. F4 classification was appropriate given the patient's stable condition and planned transfer
2. Clear communication and coordination between the hotel and rehabilitation center ensured a smooth transfer
3. Routine transfers require careful planning and adherence to safety protocols.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Hello, this is Guðrún Jónsdóttir from Hótel Hérað. We need a transfer for a patient to the rehabilitation center.

Dispatcher Okay, what is the patient's condition?

Caller She is a 78-year-old female, post-stroke, stable, needs help with mobility. She's on the second floor, room 212.

Dispatcher Can you provide her name and kennitala?

Caller Yes, her name is Guðrún Jónsdóttir, kennitala is ******-****.

Dispatcher And what are her current symptoms?

Caller She has left-sided weakness and some difficulty speaking, but she is alert and stable. She's been here for rehabilitation after a stroke.

Dispatcher Okay, the transfer is being arranged. Please ensure she has all her paperwork ready.

Caller Yes, we have all the necessary documents. Thank you.

Dispatcher The transfer will be there within the next 1-4 hours. Is there anything else?

Caller No, that's all. Thank you.