Emergency Scenario 700_f4

Location Information

Full Location:

Hótel Hérað, Miðvangi 5-7, 700 Egilsstaðir. Ground floor, room 104. Modern hotel building with multiple floors. Main entrance accessible via ramp and stairs. Parking available in front of the hotel. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2658° N, 14.3944° 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:

75-year-old female, post-stroke rehabilitation patient. Stable condition, requires transfer from Hótel Hérað to the rehabilitation center at Heilbrigðisstofnun Austurlands in Egilsstaðir. Patient is wheelchair-bound, has right-sided weakness, and requires assistance with transfers. No acute medical issues. Patient is alert and oriented.

History of Events

Timeline:
Patient suffered a stroke 3 weeks ago. Initial hospitalization at Landspítali in Reykjavík. Transferred to Hótel Hérað for post-acute rehabilitation 1 week ago. Patient has been stable with consistent progress in physical therapy. Current request is for routine transfer to the main rehabilitation center for continued care. No changes in condition reported today. Patient had a light breakfast at 08:00 and is currently awaiting transfer. 

Medical History: History of hypertension, type 2 diabetes, and prior stroke. Medications: Aspirin 75mg daily, Metformin 500mg twice daily, Lisinopril 10mg daily. No known allergies. Last medical check-up was yesterday, routine assessment.

Diagnostics

Initial Assessment

Initial Impression: Post-Stroke Rehabilitation Transfer
Justification for F4 Classification:
- Patient is stable, no acute medical issues
- Transfer is for continuation of rehabilitation, not for urgent medical intervention
- Patient is alert, oriented, and hemodynamically stable

Differential Diagnoses:
1. Stable post-stroke rehabilitation (primary diagnosis)
2. No other differential diagnoses considered given patient's stable condition

Required Actions:
- Scheduled non-emergency transfer to rehabilitation center
- Wheelchair transport required
- Medical escort not required, but transfer assistance is needed

Final Diagnosis

Final Diagnosis: Stable Post-Stroke Rehabilitation Transfer
Key Findings:
- Patient's condition remains stable upon arrival at rehabilitation center
- No changes in neurological or cardiovascular status noted during transfer
- Patient was comfortable throughout the transfer

Outcome validated F4 priority assignment. Transfer was completed without incident, patient was received at the rehabilitation center without complications.

Learning Points:
1. F4 classification appropriate for stable rehabilitation transfers
2. Pre-transfer assessment confirmed patient's stability and transfer requirements
3. Coordination between sending and receiving facilities ensured a smooth transition

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Guðrún Jónsdóttir calling from Hótel Hérað. We need a transfer for a patient to the rehabilitation center.

Dispatcher Okay, can you give me the patient's name and date of birth?

Caller Her name is Guðrún Jónsdóttir, kennitala ******-****.

Dispatcher And what is the reason for the transfer?

Caller She's a post-stroke patient, stable and ready to move to the rehabilitation center at Heilbrigðisstofnun Austurlands.

Dispatcher Is she experiencing any medical issues right now?

Caller No, she is stable. She's wheelchair-bound and needs assistance with transfers, but otherwise, she's fine.

Dispatcher Okay, this is a routine transfer. We will arrange for a transport within the next few hours. Is there anything else?

Caller No, that's all. Thank you.

Dispatcher You're welcome. We'll be in touch with a more specific time.