Emergency Scenario 700_f4

Location Information

Full Location:

Hótel Hérað, Miðvangi 5-7, 700 Egilsstaðir, ground floor, room 104. A modern two-story hotel building constructed in 2010. Main entrance is automatic sliding doors, accessible ramp to the right. Parking lot directly in front. Hotel has a central reception area. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.2656° N, 14.3954° 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:

78-year-old male, post-operative rehabilitation transfer. Patient stable, requires transport from Hótel Hérað to Heilbrigðisstofnun Austurlands in Egilsstaðir. Patient has a history of a recent right total hip replacement surgery three days ago at Landspítali in Reykjavik and is now ready for transfer to local facility for further rehabilitation. Patient is mobile with a walker and requires assistance getting in and out of the vehicle. Patient is alert and oriented, vital signs are stable. No active medical issues.

History of Events

Timeline:
Day -3: Patient underwent right total hip replacement surgery at Landspítali.
Day -2: Patient began mobilization with walker, tolerated well.
Day -1: Patient transferred to Hótel Hérað for recovery.
Day 0: Today, patient is scheduled for transfer to Heilbrigðisstofnun Austurlands for rehabilitation.

Prior Events: Patient has a history of osteoarthritis of the right hip, which led to the surgery. Patient also has well-controlled hypertension. No known allergies. Medications: Paracetamol 1000mg every 6 hours, Rivaroxaban 10mg daily, Amlodipine 5mg daily. Last meal was breakfast at 08:00. Last medical check-up was this morning, where the patient was cleared for transfer.

Diagnostics

Initial Assessment

Initial Impression: Post-operative rehabilitation transfer, stable patient.
Justification for F4 Classification:
- Patient is stable, no acute medical issues
- Transfer is for rehabilitation purposes, not an emergency
- No immediate threat to life or limb

Differential Diagnoses:
1. Post-operative recovery (primary diagnosis)
2. Potential for minor complications (low probability given stable condition)
3. No other significant differential diagnoses

Required Actions:
- Scheduled transport to rehabilitation facility
- Standard patient handling protocols
- Monitoring of patient during transport

Final Diagnosis

Final Diagnosis: Post-operative rehabilitation transfer, stable patient.
Key Findings:
- Patient arrived at Heilbrigðisstofnun Austurlands in stable condition.
- Vital signs remained stable during transport.
- No adverse events during transfer.

Outcome validated F4 priority assignment. Scheduled transport was appropriate for this case.

Learning Points:
1. F4 classification appropriate for stable, post-operative transfer.
2. Initial assessment accurately identified the patient's stability.
3. Scheduled transport provided a safe and efficient transfer for the patient.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Hello, this is Hildur Jónsdóttir from Hótel Hérað. We need a transfer for a patient to Heilbrigðisstofnun Austurlands.

Dispatcher Okay, can you provide the patient's details?

Caller Yes, the patient is a 78-year-old male, post-operative hip replacement, stable for transfer. He is in room 104.

Dispatcher What is the patient's name and kennitala?

Caller The patient is [Patient Name], kennitala is [Patient kennitala]. He had surgery three days ago in Reykjavik.

Dispatcher Okay, and is he mobile?

Caller Yes, he is mobile with a walker, but he needs help getting in and out of the vehicle.

Dispatcher Okay, this is a routine transfer. I will schedule a transport for you within the next few hours.

Caller Thank you, that sounds good.