Emergency Scenario 700_f4_16

F4

Location Information

Full Location:
Hótel Hérað, Miðgarður 11, 700 Egilsstaðir. A two-story concrete building constructed in 1950 and renovated in 2010. Main entrance is accessible via ramp, secondary entrance at the back. No elevators, stairs only. Street parking available. Hotel has a fire alarm system. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2641° N, 14.3946° 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:
74-year-old male, status post left total hip replacement 3 days ago at Landspítali in Reykjavik. Patient is stable and requires transfer to rehabilitation facility at Heilbrigðisstofnun Austurlands in Egilsstaðir. Patient is alert, oriented, and comfortable. Patient has no acute complaints, but requires assistance with mobility. Transfer is for continued rehabilitation.

History of Events

Timeline:
3 days ago: Patient underwent a left total hip replacement at Landspítali in Reykjavik. Procedure was uneventful.
Day 1-2 post-op: Patient was monitored and received standard post-operative care. Patient was ambulatory with walker, tolerated physiotherapy well.
Today: Patient is cleared for transfer to rehabilitation facility in Egilsstaðir.

Prior Events: Patient had osteoarthritis in the left hip for several years prior to surgery. No other significant medical history. No known allergies. Medications: Regular pain medication, anti-coagulation. Last meal was breakfast at 07:00.

Diagnostics

Initial Assessment

Initial Impression: Post-operative status, stable for rehabilitation transfer
Justification for F4 Classification:
- Patient is medically stable, no acute symptoms or concerns.
- Transfer is for routine rehabilitation purposes.
- No immediate life threat or urgency.
- Patient is post-operative, requiring transport for continued care.

Differential Diagnoses:
1. Post-operative recovery (primary diagnosis)
2. Deep vein thrombosis (low probability, patient on anti-coagulants)
3. Infection (low probability, no signs or symptoms)
4. Surgical complications (low probability, no symptoms)

Final Diagnosis

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?
Caller This is Jónas Einarsson calling from Landspítali in Reykjavik. We need a transport for a patient to the rehabilitation center in Egilsstaðir.
Dispatcher Okay, can you provide me with the patient's information and the reason for the transport?
Caller Yes, the patient is a 74-year-old male, he had a hip replacement three days ago. He is stable and ready for transfer to Heilbrigðisstofnun Austurlands in Egilsstaðir for rehabilitation.
Dispatcher What is the patient's social security number?
Caller It's ******-****.
Dispatcher Okay, is the patient alert and oriented?
Caller Yes, he is. He is comfortable and has no acute complaints. He just needs assistance with mobility.
Dispatcher Alright, we will arrange a transport for him. This is classified as a routine transfer and will be scheduled within the next 1-4 hours. Is there anything else?
Caller No, that's all. Thank you.

Scenario Number: 700_f4_16

Generated At: 2024-12-15T09:13:39.880729

Report Created: 2024-12-15 20:59:49