Emergency Scenario 700_f4

Location Information

Full Location:

Héraðssjúkrahúsið, Lyngás 1, 700 Egilsstaðir. Main entrance with ramp access. Single-story hospital building. Parking available. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2653° N, 14.3952° W. Nearest landmark: Egilsstaðir Airport.

Municipality: Egilsstaðir

Postal Code: 700

Emergency Details

Type: Oncology Patient Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

67-year-old female, diagnosed with stage 3 ovarian cancer. Stable condition, scheduled for transfer from Egilsstaðir hospital to Reykjavík for specialized oncology treatment. Patient is ambulatory with minimal assistance, no acute symptoms. Medical history includes hypertension, managed with medication. Patient has a port-a-cath in place for chemotherapy administration. Patient is alert, oriented, and cooperative. Transfer required for chemotherapy administration at Landspítali.

History of Events

Timeline:
0800 hours: Patient had a light breakfast.
0900 hours: Routine check-up, vital signs stable. No complaints reported.
1000 hours: Oncology team at Egilsstaðir determined the patient was stable for transfer to Reykjavík for scheduled chemotherapy. Transfer request initiated.
1015 hours: Transfer request received by dispatch.

Prior Events: Patient diagnosed with ovarian cancer 6 months ago. Has completed 3 cycles of chemotherapy. Has had stable response to treatment. No recent infections or complications. Last medical review was 1 day ago.

Diagnostics

Initial Assessment

Initial Impression: Stable Oncology Patient Transfer
Justification for F4 Classification:
- Patient is clinically stable, no acute symptoms, and requires a routine transfer.
- Transfer is for scheduled treatment and is not time-critical.
- No immediate risk to patient's health requiring urgent intervention.

Differential Diagnoses:
1. Stable Oncology Patient (primary diagnosis)
2. No other acute conditions or differential diagnoses at this time.

Required Actions:
- Arrange a non-emergency medical transport to Reykjavík.
- Ensure appropriate medical documentation and medication transfer.
- Coordinate transfer with receiving hospital in Reykjavík.

Final Diagnosis

Final Diagnosis: Stable Oncology Patient for Scheduled Transfer
Key Findings:
- Patient remained stable throughout the transfer.
- All vital signs within normal limits during pre-transfer assessment.
- No complications during the transfer.
- Receiving hospital confirmed patient's arrival and continued treatment plan.

Outcome validated F4 priority assignment. The patient's condition remained stable, and the transfer was completed without incident.

Learning Points:
1. F4 classification was appropriate given the patient's stable condition and routine transfer needs.
2. Pre-transfer assessment was crucial in confirming patient stability.
3. Effective communication and coordination between hospitals ensured a smooth transfer.

Emergency Call Transcript

Dispatcher Emergency services, this is the dispatch center, what is your emergency?

Caller Hello, this is Hildur Jónsdóttir from Héraðssjúkrahúsið in Egilsstaðir. We need to arrange a non-emergency transfer for a patient to Landspítali in Reykjavík.

Dispatcher Okay, can you provide the patient's details and reason for transfer?

Caller Yes, the patient is a 67-year-old female, diagnosed with stage 3 ovarian cancer. She is stable and needs to go to Reykjavík for her scheduled chemotherapy.

Dispatcher Is the patient currently experiencing any symptoms?

Caller No, she is stable, ambulatory with minimal assistance, and has no acute symptoms. She has a port-a-cath in place. Her vitals are stable. We just need a routine transfer.

Dispatcher Okay, and can you confirm her full name and kennitala?

Caller Her name is, let me check, yes it is, Guðrún Ólafsdóttir, kennitala is ******-****.

Dispatcher Okay, we will arrange a non-emergency transport for her. Do you have any other information for the transport team?

Caller Yes, she has a history of hypertension managed with medication. We will send her medical records with the transport. She had a light breakfast this morning and is ready for transport. Please ensure they are aware of her port-a-cath.

Dispatcher Understood. We will coordinate with the transport team. Please ensure she is ready for transfer within the next 1 to 4 hours. We will notify you when they are en route.

Caller Okay, thank you for your help.