Emergency Scenario 700_f4

Location Information

Full Location:

Héraðssjúkrahúsið í Austurlandi, Sólvöllum 1, 700 Egilsstaðir, Room 212, second floor. Modern hospital building with multiple wings. Main entrance has automatic doors. Elevators and stairwells provide access to all floors. Parking is available in front of the building. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2645° N, 14.3935° 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:

76-year-old male, post-operative hip replacement, stable condition, requiring transfer from Héraðssjúkrahúsið í Austurlandi to a rehabilitation facility in Reykjavík. Patient is alert, oriented, and has stable vital signs. He is able to transfer with minimal assistance. Patient is currently in Room 212. He requires a standard ambulance stretcher transfer with minimal medical monitoring. Medical history: Left total hip replacement 5 days ago. Post-op course has been uncomplicated. No known allergies. Medications: Oral analgesics, prophylactic anticoagulants. Last meal was at 12:00.

History of Events

Timeline:
Day 1 (5 days ago): Patient underwent successful left total hip replacement.
Day 2-4: Post-operative recovery progressing well, ambulating with walker.
Day 5 (today): Patient deemed medically stable for transfer to rehabilitation facility.
13:00 hours: Transfer order received. Patient is prepared for transport.
13:15 hours: Current time, awaiting ambulance for transfer.
Prior Events: Patient has a history of osteoarthritis. No other significant medical history. No recent illnesses or injuries. Last medical check-up was the pre-operative assessment.

Diagnostics

Initial Assessment

Initial Impression: Post-operative hip replacement, stable for rehabilitation transfer.
Justification for F4 Classification:
- Patient is stable, no acute medical issues
- Transfer is routine and non-emergent
- Patient requires transport to a rehabilitation facility, not an acute care setting
Differential Diagnoses:
1. Post-operative recovery (primary condition)
2. No other significant medical issues to consider
Required Actions:
- Dispatch of a standard ambulance for a routine transfer
- Ensure patient comfort and safety during transport
- Transfer to rehabilitation facility as per transfer order

Final Diagnosis

Final Diagnosis: Post-operative status, left total hip replacement, stable for rehabilitation transfer.
Key Findings:
- Patient's vital signs remained stable throughout the pre-transfer assessment
- No signs of infection, bleeding, or other complications
- Patient was able to transfer with minimal assistance
Outcome validated F4 priority assignment. The transfer was completed without any medical incidents.
Learning Points:
1. F4 classification was appropriate given the stability of the patient
2. Pre-transfer assessment confirmed the absence of any acute medical issues
3. Routine transfers of post-operative patients require careful planning and communication

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Hildur Jónsdóttir from Héraðssjúkrahúsið í Austurlandi. We need an ambulance for a routine transfer.

Dispatcher Okay, what is the patient's name and location?

Caller The patient is Jón Einarsson, he is in room 212, second floor. He is post-op hip replacement.

Dispatcher And where is he being transferred to?

Caller He is being transferred to a rehabilitation facility in Reykjavík.

Dispatcher Okay, is the patient stable?

Caller Yes, he is stable. He had a hip replacement 5 days ago and is ready for rehab.

Dispatcher Okay, we will dispatch a routine transfer ambulance. Expect them within 1 to 4 hours.

Caller Okay, thank you.