Emergency Scenario 735_f4

Location Information

Full Location:

Hafnargata 23, 735 Norðfjörður. Single-story residential building built in 1968, concrete construction. Main entrance at street level, no stairs. No security features. Paved parking in front of the building. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 65.2054° N, 14.2012° W. Nearest landmark: Norðfjörður harbor.

Municipality: Norðfjörður

Postal Code: 735

Emergency Details

Type: Dialysis Patient Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

67-year-old female, end-stage renal disease, requires routine transport for scheduled dialysis. Patient is stable, alert, and oriented. No acute symptoms reported. Patient awaiting transport to dialysis center in Egilsstaðir. Patient is wheelchair-bound and requires assistance with transfers. Medical history: End-stage renal disease, hypertension, type 2 diabetes. Medications: Erythropoietin, insulin, antihypertensives. No known allergies. Last meal was a light lunch at 12:00. Dialysis is scheduled for 16:00.

History of Events

Timeline:
1300 hours: Patient finished lunch, prepared for transport.
1315 hours: Patient contacted transport services for confirmation.
1320 hours: Patient awaits transport at her residence.

Prior Events: Patient has been on dialysis for 3 years, attends dialysis center three times per week. No recent hospitalizations or significant changes in health status. Routine medical check-up 2 weeks ago, no issues noted. Patient lives alone but receives daily assistance from home care services.

Diagnostics

Initial Assessment

Initial Impression: Routine Dialysis Transfer
Justification for F4 Classification:
- Patient is stable and asymptomatic, requiring routine scheduled transport.
- No acute medical issues or life-threatening conditions present.
- Transfer is for scheduled medical treatment, not an emergency.

Differential Diagnoses:
1. Stable Dialysis Patient (primary diagnosis)
2. Potential for Hypotension (low risk, no symptoms reported)
3. Potential for Hyperglycemia (low risk, no symptoms reported)

Required Actions:
- Dispatch of non-emergency transport vehicle with appropriate patient handling equipment.
- Coordination with dialysis center for arrival time.
- Confirmation of patient's medical information and transport requirements.

Final Diagnosis

Final Diagnosis: Stable Dialysis Patient for Routine Transfer
Key Findings:
- Patient's vital signs were stable upon arrival of transport team.
- Patient reported no changes in health status since initial call.
- No complications arose during transport to dialysis center.

Outcome validated F4 priority assignment. Routine transport was appropriate and successful. Patient received dialysis as scheduled.

Learning Points:
1. F4 classification appropriate for stable, scheduled transport.
2. Initial assessment accurately identified the routine nature of the transfer.
3. Coordination with patient and dialysis center was essential for smooth transport.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Hello, this is Guðrún Jónsdóttir, kennitala ******-****. I need transport to dialysis in Egilsstaðir, as scheduled.

Dispatcher Okay, Guðrún. I see your request. Can you confirm your address?

Caller Yes, it's Hafnargata 23, in Norðfjörður.

Dispatcher And you are stable and ready for transport?

Caller Yes, I am feeling fine. I just need to get to dialysis by 4 PM.

Dispatcher Okay, transport will be arranged for you. They should arrive within the next 1-4 hours.

Caller Thank you. I'll be waiting.

Dispatcher You're welcome, we will contact you if there are any changes.