Emergency Scenario 735_f4

Location Information

Full Location:

Hafnargata 22, 735 Norðfjörður. Single-story wooden building, built in 1950, with a ramp entrance. No security system. Parking available in front of the building. Current conditions: 8°C, cloudy, good visibility. GPS coordinates: 65.1885° N, 14.1903° W. Nearest landmark: Norðfjörður harbor.

Municipality: Norðfjörður

Postal Code: 735

Emergency Details

Type: Post-Operative Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

72-year-old female, post-operative transfer from Norðfjörður Health Clinic to Egilsstaðir Hospital. Patient is stable, post-operative day 2 following a total hip replacement. No acute complaints. Patient is mobile with assistance, tolerating oral intake, and has stable vital signs. Transfer required for ongoing rehabilitation and follow-up. Patient has a history of osteoarthritis and hypertension. Medications include analgesics, anticoagulants, and antihypertensives. No known allergies. Last meal was breakfast at 08:00.

History of Events

Timeline:
0700 hours: Patient received morning medications and breakfast
0800 hours: Patient had physical therapy session, tolerated well
0900 hours: Medical staff assessed patient, deemed stable for transfer
0930 hours: Transfer request initiated
1000 hours: Current time, patient is awaiting transfer

Prior Events: Patient underwent total hip replacement surgery two days ago. Post-operative recovery has been uneventful. Patient has been ambulating with assistance and has had no complications. Patient has a history of osteoarthritis and hypertension, well-managed with medications. No recent illnesses or injuries.

Diagnostics

Initial Assessment

Initial Impression: Stable Post-Operative Transfer
Justification for F4 Classification:
- Patient is stable, no acute complaints
- Transfer is routine for ongoing rehabilitation
- No immediate medical intervention required
- Patient's condition is not time-sensitive

Differential Diagnoses:
1. Post-operative recovery (primary condition)
2. Potential for post-operative complications (low probability)
3. Medication side effects (low probability)

Required Actions:
- Dispatch of non-emergency transport vehicle
- Monitoring of vital signs during transfer
- Ensuring patient comfort and safety during transport
- Communication of patient's medical history to receiving facility

Final Diagnosis

Final Diagnosis: Stable Post-Operative Patient Following Total Hip Replacement
Key Findings:
- Patient remained stable during transfer
- No changes in vital signs or condition
- Patient tolerated transport well
- Transfer was successfully completed to Egilsstaðir Hospital

Outcome validated F4 priority assignment. No emergency interventions were required. Patient continued with post-operative rehabilitation at the receiving facility.

Learning Points:
1. F4 classification appropriate for stable, routine transfers
2. Pre-transfer assessment accurately identified the patient's stable condition
3. Thorough communication between facilities ensured smooth patient transfer

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Guðrún calling from the Norðfjörður Health Clinic. We need a routine transfer for a post-operative patient to Egilsstaðir Hospital.

Dispatcher Okay, can you provide the patient's name and social security number?

Caller The patient is Guðrún Jónsdóttir, kennitala is ******-****.

Dispatcher And what is the reason for the transfer?

Caller She is post-operative day two from a total hip replacement and needs to continue her rehabilitation at Egilsstaðir Hospital. She is stable.

Dispatcher Okay, and is she currently experiencing any issues?

Caller No, she is stable. Her vital signs are normal, and she is comfortable. She had breakfast at 8 am and has had her medications.

Dispatcher Understood. This is a routine transfer. A transport will be scheduled within the next 1 to 4 hours. Is there anything else?

Caller No, that's all. Thank you.