Emergency Scenario 700_f4

Location Information

Full Location:

Lyngás 14, 700 Egilsstaðir, third floor, room 305. Three-story reinforced concrete building, constructed in 2005. Main entrance with electronic keycard access during off-hours. Elevator and central stairwell. Limited street parking. Building equipped with smoke detectors and sprinkler system. Current conditions: 8°C, overcast, light breeze. GPS coordinates: 65.2667° N, 14.3983° 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:

65-year-old female, oncology patient, requires transfer from Egilsstaðir Health Center to Landspítali in Reykjavik for scheduled chemotherapy. Patient is stable, alert, and oriented. Primary symptom: Fatigue related to cancer treatment. Secondary symptoms: Mild nausea, managed with medication. Patient is mobile but prefers assistance. Medical history: Stage III breast cancer diagnosed 6 months ago, currently undergoing chemotherapy. Medications: Ondansetron 8mg PRN, Paracetamol 500mg PRN, Letrozole 2.5mg daily. Allergies: Penicillin. Last meal was a light lunch at 12:00. Recent healthcare contacts: Chemotherapy session 3 days ago.

History of Events

Timeline:
1300 hours: Patient completed check-in at Egilsstaðir Health Center
1315 hours: Patient was assessed by the oncology nurse, deemed stable for transfer
1330 hours: Transfer request initiated by the healthcare staff
1345 hours: Current time, patient is resting comfortably awaiting transport

Prior Events: Patient has been receiving regular chemotherapy treatments at Landspítali. Patient has tolerated previous transfers without complications. No recent changes in medical condition. No new symptoms reported since last treatment.

Diagnostics

Initial Assessment

Initial Impression: Stable Oncology Patient for Routine Transfer
Justification for F4 Classification:
- Patient is stable, alert, and oriented with no acute symptoms
- Transfer is for scheduled treatment, not an emergency situation
- No immediate medical intervention required during transport
- Condition is not life-threatening or time-sensitive

Differential Diagnoses:
1. Stable Oncology Patient (primary diagnosis)
2. Dehydration (unlikely, patient has been drinking fluids)
3. Electrolyte Imbalance (unlikely, no related symptoms)
4. Infection (unlikely, no fever or signs of infection)

Required Actions:
- Arrange non-emergency transport with appropriate medical supervision
- Ensure patient comfort and safety during transport
- Confirm transfer details with Landspítali

Final Diagnosis

Final Diagnosis: Stable Oncology Patient for Scheduled Chemotherapy
Key Findings:
- Patient’s vital signs remained stable throughout the transfer process
- No new symptoms developed during transport
- Patient arrived at Landspítali without any complications

Outcome validated F4 priority assignment. The transfer was completed smoothly and according to plan. Patient was admitted to the oncology unit without any issues.

Learning Points:
1. F4 classification was appropriate for a routine, scheduled patient transfer
2. Pre-transfer assessment was accurate and complete
3. No emergent situations occurred during the transfer, highlighting the importance of pre-planning for routine transfers

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Hildur Jónsdóttir from Egilsstaðir Health Center. We need to arrange a routine transfer for a patient to Landspítali.

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

Caller The patient is a 65-year-old female, Hildur Guðmundsdóttir, kennitala ******-****. She is an oncology patient needing to go to Landspítali for scheduled chemotherapy.

Dispatcher Is the patient stable for transport?

Caller Yes, she is stable. She has mild nausea, but it's managed with medication. She is mobile but would prefer assistance.

Dispatcher Does she have any other medical conditions or allergies?

Caller She has stage III breast cancer and is undergoing chemotherapy. She is allergic to penicillin. Her medications are Ondansetron, Paracetamol, and Letrozole.

Dispatcher Okay, and what was her last meal?

Caller She had a light lunch around 12:00.

Dispatcher Okay, we'll arrange a routine transfer. Please ensure she is ready and comfortable for the transport.

Caller Thank you, we will.