Emergency Scenario 700_f4

Location Information

Full Location:

Hótel Hérað, Miðgarður 1, 700 Egilsstaðir. A two-story hotel built in 1948, concrete structure. Main entrance on the west side, with a secondary entrance on the east side for service access. Elevator and central staircase available. Parking available in front and to the side of the building. Current weather: 10°C, overcast, light wind, good visibility. GPS coordinates: 65.2657° N, 14.3937° 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:

72-year-old male, post-stroke rehabilitation patient at Hótel Hérað. Patient is stable and requires transfer to his residence in Reyðarfjörður for continued care. Primary needs: assistance with mobility, medication administration, and monitoring. Patient is wheelchair-bound. No acute medical issues. Patient is alert, oriented, and cooperative. Patient is on a soft diet. 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 lunch at 12:00.

History of Events

Timeline:
1400 hours: Patient was cleared for transfer by the attending physician.
1415 hours: Transfer request was submitted to dispatch.
1430 hours: Current time, patient is awaiting transport in his hotel room.

Prior Events: Patient was hospitalized for the stroke three months ago. He completed his initial rehabilitation program and was transferred to Hótel Hérað for intermediate care. Patient has been stable for the past two weeks with no significant changes in condition. He is able to communicate effectively and has no new complaints.

Diagnostics

Initial Assessment

Initial Impression: Stable post-stroke rehabilitation patient requiring non-emergency transfer.
Justification for F4 Classification:
- Patient is stable, no acute medical issues, and transfer is for routine rehabilitation purposes.
- No time-critical medical needs, transfer can be scheduled within a 1-4 hour window.
- Patient's condition is well-managed, and there is no risk of rapid deterioration during transfer.

Differential Diagnoses:
1. Stable post-stroke patient (primary diagnosis)
2. No other acute conditions to consider at this time

Required Actions:
- Dispatch of a non-emergency transport vehicle with appropriate patient handling equipment.
- Ensure patient comfort and safety during transport.
- Communication with receiving facility regarding patient's condition and needs.

Final Diagnosis

Final Diagnosis: Stable post-stroke rehabilitation patient for routine transfer.
Key Findings:
- Patient's vital signs were stable upon assessment.
- Patient was able to transfer to the transport vehicle with minimal assistance.
- No new medical issues were identified during the transfer.

Outcome validated F4 priority assignment. Routine transfer was conducted safely and efficiently. Patient arrived at his residence without incident.

Learning Points:
1. F4 classification was appropriate for this routine transfer.
2. Pre-transfer assessment confirmed patient stability and suitability for transport.
3. Communication between dispatch, sending, and receiving facilities was effective and ensured a smooth transfer.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Jónas Einarsson calling from Hótel Hérað. We need a transfer for a rehabilitation patient.

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

Caller The patient's name is Jónas Einarsson, kennitala ******-****. He's being transferred to his home in Reyðarfjörður.

Dispatcher What is the current medical condition of the patient?

Caller He's stable, post-stroke, needs assistance with mobility. He is in a wheelchair. It's a routine transfer, the doctor has cleared him.

Dispatcher Okay, and what is his medication list?

Caller He takes Aspirin 75mg daily, Metformin 500mg twice daily, and Lisinopril 10mg daily. No allergies.

Dispatcher Alright, we will arrange a non-emergency transport. Please stay with the patient and prepare for the transport.

Caller Thank you, we'll be waiting.