Emergency Scenario 700_f4

Location Information

Full Location:

Hólsvegur 17, 700 Egilsstaðir, first floor apartment 102. Three-story concrete residential building built in 1992. Main entrance has a coded lock, code is 2345. There is one elevator and one central stairwell. Street parking available. Building has a fire alarm system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.2649° N, 14.3923° W. Nearest landmark: Egilsstaðir Swimming Pool.

Municipality: Egilsstaðir

Postal Code: 700

Emergency Details

Type: Geriatric Care Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

88-year-old female, scheduled transfer from home to nursing facility. Patient is stable, alert, and oriented. Primary issue: Chronic mobility issues and increasing need for assisted living. Secondary issues: Mild dementia, controlled hypertension, and osteoarthritis. Patient is ambulatory with a walker but requires assistance with transfers and personal care. Patient is calm and cooperative. No acute medical issues reported. Patient is sitting in a chair in her living room. Medical history: Hypertension, osteoarthritis, mild dementia. Medications: Amlodipine 5mg daily, Paracetamol 500mg PRN, Rivastigmine 4.6mg daily. Allergies: None known. Last meal was a light lunch at 13:00.

History of Events

Timeline:
1400 hours: Patient finished lunch and took her medications.
1415 hours: Patient was assisted to her chair in the living room.
1430 hours: Daughter called to confirm transfer arrangements and request assistance.
1445 hours: Current time, patient is stable and awaiting transport.

Prior Events: Patient has been living at home with support from family for the past 5 years. Her mobility has gradually decreased over the last 6 months. She was evaluated by a geriatric specialist last week who recommended transfer to a nursing home. No recent hospitalizations or acute medical events. Patient has had regular follow-up appointments for her hypertension and dementia.

Diagnostics

Initial Assessment

Initial Impression: Scheduled Geriatric Transfer
Justification for F4 Classification:
- Patient is stable and not experiencing any acute medical issues.
- Transfer is routine and does not require urgent medical intervention.
- Patient is awaiting scheduled transport to a nursing facility.

Differential Diagnoses:
1. Stable Chronic Conditions (primary diagnosis)
2. Potential for mobility issues during transfer (requires assistance)
3. Potential for anxiety during transfer (requires reassurance)

Required Actions:
- Dispatch of non-emergency transport service
- Assistance with patient transfer from chair to transport vehicle
- Monitoring of patient’s comfort and reassurance during transport
- Transfer to the designated nursing facility

Final Diagnosis

Final Diagnosis: Routine Geriatric Transfer
Key Findings:
- Patient remained stable and cooperative throughout the transfer.
- No new medical issues or changes in condition were observed.
- Transfer was completed smoothly and efficiently.

Outcome validated F4 priority assignment. The transfer was completed without incident, and the patient was safely delivered to the nursing facility.

Learning Points:
1. F4 classification was appropriate given the stable condition and scheduled nature of the transfer.
2. Pre-transfer assessment and clear communication ensured a smooth process.
3. Importance of confirming patient stability and transfer requirements before dispatch.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Hello, this is Guðrún Jónsdóttir. I'm calling about my mother, she's supposed to be transferred to the nursing home today.

Dispatcher Okay, can you give me your address and your mother's name?

Caller Yes, it's Hólsvegur 17, apartment 102 in Egilsstaðir. Her name is Anna Sigurðardóttir.

Dispatcher And her kennitala?

Caller ******-****

Dispatcher Okay, and what is the situation with your mother?

Caller She's ready to go, she's just sitting in her chair. She's a bit frail and needs help with transfers. She has a walker but can't walk far. She's stable, just needs to be taken to the nursing home.

Dispatcher Does she have any medical conditions we should be aware of?

Caller Yes, she has high blood pressure and some mild dementia. She also has arthritis. She takes medication for all of that. She's taken her pills today.

Dispatcher Okay, a non-emergency transport will be dispatched to assist with the transfer. It should arrive within the next few hours.

Caller Okay, thank you very much. We will wait here.