Emergency Scenario 700_f4

Location Information

Full Location:

Héraðssjúkrahúsið, Spítalavegur 2, 700 Egilsstaðir. Single-story hospital building with multiple wings. Main entrance is accessible via ramp. Parking available in front of the main entrance. The building has a fire alarm system and security cameras. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2678° N, 14.3939° 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 Héraðssjúkrahúsið in Egilsstaðir to Landspítali in Reykjavík for specialized treatment. Patient is stable, ambulatory, and requires no immediate medical intervention. Medical history: Stage III breast cancer, currently undergoing chemotherapy. Patient has no known allergies. Medications: Letrozole 2.5mg daily, Palbociclib 125mg daily, Ondansetron 8mg PRN. Last meal was breakfast at 08:00.

History of Events

Timeline:
0900 hours: Patient had routine morning assessment. Vitals stable.
0930 hours: Oncologist approved transfer to Landspítali for further treatment.
1000 hours: Transfer request initiated.

Prior Events: Patient was diagnosed with breast cancer 6 months ago and has been receiving treatment at Héraðssjúkrahúsið. Patient has been stable with no significant complications. Last chemotherapy cycle completed 3 days ago. Patient is generally in good spirits and understanding of the transfer process. Patient has no mobility issues and can walk independently. No recent infections or acute medical issues.

Diagnostics

Initial Assessment

Initial Impression: Routine Inter-facility Transfer of Oncology Patient.
Justification for F4 Classification:
- Patient is stable, ambulatory, and requires no immediate medical intervention.
- Transfer is for scheduled treatment, not for an acute condition.
- No life-threatening or time-sensitive elements are present.

Differential Diagnoses:
1. None - Patient is stable and transfer is for ongoing care.

Required Actions:
- Arrange non-emergency transport with appropriate medical oversight.
- Ensure patient has all necessary medical documentation and medications.
- Coordinate with receiving hospital to ensure a smooth transfer.

Final Diagnosis

Final Diagnosis: Routine Inter-facility Transfer for Oncology Treatment.
Key Findings:
- Patient's condition remained stable throughout the transfer process.
- All medical documentation and medications were successfully transferred.
- Patient arrived at Landspítali without any complications.

Outcome validated F4 priority assignment. Transfer was completed without incident. Patient was successfully admitted to Landspítali.

Learning Points:
1. F4 classification appropriate for routine transfers of stable patients.
2. Pre-transfer coordination is key for smooth and uneventful transfers.
3. Clear communication between facilities is essential for continuity of care.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Hjördís Ólafsdóttir calling from Héraðssjúkrahúsið in Egilsstaðir. We need to arrange a routine transfer for an oncology patient to Landspítali in Reykjavík.

Dispatcher Okay, I understand. Can you provide the patient's name and date of birth?

Caller The patient is Sigríður Jónsdóttir, her kennitala is ******-****.

Dispatcher And what is the reason for the transfer?

Caller She is an oncology patient with breast cancer, she needs further specialized treatment at Landspítali.

Dispatcher Is the patient stable?

Caller Yes, she is stable and ambulatory. She requires no immediate medical intervention.

Dispatcher Okay, this will be classified as a routine transfer. We will arrange transport within 1-4 hours. Do you have all her medical documentation and medications ready?

Caller Yes, everything is ready. We will make sure she has all necessary documents and medications.

Dispatcher Very well. We will coordinate with the transport team and Landspítali. We will contact you with an estimated time of arrival. Is there anything else?

Caller No, that's all. Thank you for your help.