Emergency Scenario 700_f4

Location Information

Full Location:

Héraðssjúkrahúsið í Austurland, Fjórðungssjúkrahúsið, 700 Egilsstaðir, Main entrance, Dialysis Unit, Ground floor. Modern hospital building with multiple floors, built in 1990. Main entrance is accessible via ramp and automatic doors. Parking available in front of the building. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2666° N, 14.3961° W. Nearest landmark: Egilsstaðir Airport.

Municipality: Egilsstaðir

Postal Code: 700

Emergency Details

Type: Dialysis Patient Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

68-year-old male, stable condition, requires routine transfer from Egilsstaðir Hospital to his home in Reyðarfjörður following a scheduled dialysis session. Patient is alert, oriented, and reports no acute symptoms. Requires wheelchair assistance for transport. Medical history: End-stage renal disease, hypertension, type 2 diabetes. Dialysis treatment completed without complications. Patient is ambulatory with assistance. No known allergies. Medications: Multiple, including antihypertensives, antidiabetics, and erythropoietin. Last meal was lunch at 13:00.

History of Events

Timeline:
0800 hours: Patient arrived for scheduled dialysis treatment.
0830 hours: Dialysis session commenced.
1230 hours: Dialysis session completed without complications.
1300 hours: Patient had lunch.
1330 hours: Patient is stable and ready for transport home.

Prior Events: Patient has been receiving dialysis three times per week for the past two years. No recent hospitalizations or acute illnesses. Routine follow-up with nephrologist.

Diagnostics

Initial Assessment

Initial Impression: Stable Dialysis Patient Transfer
Justification for F4 Classification:
- Patient is hemodynamically stable with no acute symptoms or signs of distress
- Transfer is routine and scheduled, not an emergency
- No time-critical interventions required

Differential Diagnoses:
1. Post-dialysis fatigue (expected, but stable)
2. Hypotension (ruled out by stable vital signs)
3. Electrolyte imbalance (unlikely, no symptoms)
4. Infection (unlikely, no fever or other signs)

Required Actions:
- Scheduled transport via non-emergency ambulance or patient transport vehicle
- Wheelchair assistance during transfer
- Monitoring of vital signs during transport (as per routine)

Final Diagnosis

Final Diagnosis: Stable post-dialysis patient for routine transfer
Key Findings:
- Patient completed dialysis session without complications
- Vital signs stable throughout post-dialysis period
- No acute symptoms or complaints reported

Outcome validated F4 priority assignment. The patient was safely transported home without any complications.

Learning Points:
1. F4 classification appropriate for routine transfers of stable patients
2. Clear communication and coordination between the hospital and transport team is essential
3. Routine monitoring of vital signs is necessary, even in stable patients

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Hildur from the dialysis unit at Egilsstaðir hospital. We have a patient ready for routine transfer home.

Dispatcher Okay, can you give me the patient's name and kennitala?

Caller Yes, it's Jón Einarsson, kennitala ******-****.

Dispatcher And what is the destination address?

Caller He lives in Reyðarfjörður, I don't have the exact address here but it is on his file. He needs a wheelchair for transport.

Dispatcher Okay, and can you confirm the patient is stable for transport?

Caller Yes, he is stable, has completed his dialysis and had lunch. No issues.

Dispatcher Okay, we will arrange for a routine transfer. Is there anything else I should know?

Caller No, that's all. Thank you.

Dispatcher You're welcome. We will contact you when the transport is en route.