Emergency Scenario 735_f4

Location Information

Full Location:

Hafnarbraut 17, 735 Norðfjörður. Single-story concrete building, built in 1985, serving as a local health clinic. Main entrance is at street level, no stairs. Secondary entrance is a loading dock at the rear. Parking available in front and on the side. Building has basic security system with door locks. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 65.2052° N, 14.2054° W. Nearest landmark: Norðfjörður harbor.

Municipality: Norðfjörður

Postal Code: 735

Emergency Details

Type: Oncology Patient Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

72-year-old female, diagnosed with metastatic lung cancer, scheduled for transfer from Norðfjörður health clinic to Landspítali in Reykjavík for specialized oncology treatment. Patient is stable, ambulatory with minimal assistance, and requires no immediate medical intervention. Patient has a history of COPD and hypertension. She is currently receiving palliative care.

History of Events

Timeline:
0800 hours: Patient had a light breakfast, tolerated well
0900 hours: Patient received scheduled medications at the clinic
1000 hours: Patient is stable, vital signs within normal limits
1100 hours: Transfer request initiated by the oncology team at Landspítali
1115 hours: Current time, patient is awaiting transport. No recent changes in condition.

Prior Events: Patient diagnosed with lung cancer 6 months ago. Underwent chemotherapy, which was discontinued due to progression of disease. Patient has had stable vital signs over the last 24 hours. No recent infections or acute events. Patient has been admitted to the clinic for symptom management.

Diagnostics

Initial Assessment

Initial Impression: Stable oncology patient for scheduled transfer
Justification for F4 Classification:
- Patient is clinically stable with no acute medical needs
- Transfer is for scheduled treatment at a tertiary center
- No immediate threat to life or limb
- Response time is routine within 1-4 hours

Differential Diagnoses:
1. Metastatic Lung Cancer (confirmed diagnosis)
2. Stable COPD (controlled with medication)
3. Stable Hypertension (controlled with medication)
4. No acute medical condition requiring immediate intervention

Required Actions:
- Arrange ground transport for non-emergent transfer
- Ensure transfer paperwork and patient information are complete
- Confirm patient's comfort during transfer

Final Diagnosis

Final Diagnosis: Stable metastatic lung cancer patient requiring transfer for oncology treatment
Key Findings:
- Patient's condition remained stable throughout the transfer
- No changes in vital signs or symptoms during transit
- Patient arrived at Landspítali in good condition

Outcome validated F4 priority assignment. Routine transfer procedures were appropriate. No complications arose during transport.

Learning Points:
1. F4 classification was appropriate for this stable patient transfer
2. Pre-transfer assessment and planning ensured a smooth and safe transfer
3. Communication between the sending and receiving facilities was essential

Emergency Call Transcript

Dispatcher Emergency services, this is dispatch, what is your emergency?

Caller Hello, this is Guðrún Jónsdóttir from the health clinic in Norðfjörður. We need to arrange a patient transfer.

Dispatcher Okay, can you provide details about the patient and the transfer?

Caller Yes, it's for Guðrún Jónsdóttir, kennitala ******-****. She is a 72-year-old female with metastatic lung cancer. She needs to be transferred to Landspítali in Reykjavík for oncology treatment.

Dispatcher Is the patient stable?

Caller Yes, she is stable. She is ambulatory with minimal assistance. She is not in any acute distress and her vital signs are normal. This is a routine transfer as per the oncologist's request.

Dispatcher Does she have any other medical conditions?

Caller Yes, she has a history of COPD and hypertension, but they are well managed with medication. She is currently receiving palliative care for the cancer.

Dispatcher Okay, the transfer will be classified as routine. We will arrange transport within the next 1-4 hours. Is there anything else we should know?

Caller No, that should be all. We will have all her medical records and transfer documents ready. Thank you.

Dispatcher You're welcome, we will be in touch soon.