Emergency Scenario 735_f4

Location Information

Full Location:

Hafnarbraut 11, 735 Norðfjörður, first floor of the rehabilitation center. Single-story concrete building built in 1990. Main entrance is accessible via a ramp. One main entrance and several emergency exits. No security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2045° N, 14.2132° W. Nearest landmark: Norðfjörður harbor.

Municipality: Norðfjörður

Postal Code: 735

Emergency Details

Type: Rehabilitation Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

72-year-old female, needs routine transfer from Norðfjörður rehabilitation center to her home in Eskifjörður. Patient is stable and ambulatory with walker. Requires assistance with stairs at her residence. Medical history: Left hip replacement 6 weeks ago, currently undergoing rehabilitation. Medications: Paracetamol 500mg PRN, Rivaroxaban 10mg daily. No known allergies. Last meal was lunch at 12:00.

History of Events

Timeline:
0800 hours: Patient completed morning rehabilitation exercises.
1200 hours: Patient had lunch.
1400 hours: Discharge paperwork completed by staff.
1430 hours: Transfer request made by rehabilitation center staff.

Prior Events: Patient underwent left hip replacement 6 weeks ago. Post-operative course was uneventful. Patient has been making good progress in rehabilitation. No recent illnesses or injuries. Last medical check-up 2 days ago, routine follow-up.

Diagnostics

Initial Assessment

Initial Impression: Routine Rehabilitation Transfer
Justification for F4 Classification:
- Patient is stable, ambulatory with a walker, and requires routine transfer.
- No acute medical issues or urgent needs.
- Transfer can be scheduled within 1-4 hours without compromising patient safety.

Differential Diagnoses:
1. Stable post-operative rehabilitation patient (primary diagnosis)
2. Potential for minor discomfort during transfer (low probability)
3. No other acute conditions suspected.

Required Actions:
- Dispatch of non-emergency transport vehicle with appropriate equipment for patient with mobility issues.
- Pre-transfer assessment of patient's condition.
- Assistance with stairs at patient's residence.

Final Diagnosis

Final Diagnosis: Stable Post-Operative Rehabilitation Patient
Key Findings:
- Patient's condition remained stable throughout the transfer.
- No complications during transport.
- Patient was safely transferred to her residence.

Outcome validated F4 priority assignment. Routine transfer was appropriate and uneventful.

Learning Points:
1. F4 classification was appropriate for a routine rehabilitation transfer of a stable patient.
2. Detailed medical history and transfer requirements ensured a smooth process.
3. No urgent medical issues were identified during the transfer.

Emergency Call Transcript

Dispatcher Emergency services, this is the dispatch center, how can I help you?

Caller Hello, this is Guðrún from the rehabilitation center in Norðfjörður. We need a routine transfer for a patient.

Dispatcher Okay, can you provide me with the patient's information and the details of the transfer?

Caller Yes, the patient is Guðrún Jónsdóttir, kennitala ******-****. She needs to be transferred to her home in Eskifjörður.

Dispatcher And what is her medical condition?

Caller She is stable, she had a hip replacement six weeks ago and is now finishing her rehabilitation. She uses a walker.

Dispatcher Does she require any special assistance during the transfer?

Caller Yes, she needs help with stairs at her home. She is taking Paracetamol as needed and Rivaroxaban daily.

Dispatcher Okay, I've noted the details. This is a routine transfer and will be scheduled within the next 1-4 hours. Is there anything else?

Caller No, that is all. Thank you.