Emergency Scenario 735_f4_6

Location Information

Hafnargata 15, 735 Norðfjörður, single-story detached house. Built in 1985, wood frame construction. Main entrance at front, one back exit. No security features. Weather: 8°C, overcast, light wind. Road conditions: dry, good visibility. GPS coordinates: 65.2087° N, 13.9983° W. Nearest landmark: Norðfjörður harbor.

Emergency Details

72-year-old female, post-operative day 3 following a total knee replacement at Landspítali in Reykjavík. Patient is stable and requires transfer to the local health clinic in Norðfjörður for continued care. Patient is ambulatory with crutches, no signs of infection or complications. Pain controlled with oral analgesics. Requires assistance with transportation.

History of Events

Timeline:
3 days prior: Patient underwent total knee replacement surgery at Landspítali.
Day 1 post-op: Patient began ambulation with physical therapy, tolerated well.
Day 2 post-op: Pain well-controlled with oral analgesics, no signs of infection.
Day 3 post-op: Patient cleared for transfer to local health clinic for continued care.
Current time: Patient awaiting transport at Landspítali discharge lounge.

Prior Events: Patient has a history of osteoarthritis in both knees, no other significant medical history. No known allergies. Medications: Paracetamol 1000mg QID, Oxycodone 5mg PRN. Last oral intake: light lunch at 12:00, current time 14:00.

Diagnostics

Initial Assessment

Initial Impression: Stable Post-Operative Transfer
Justification for F4 Classification:
- Patient is stable with no acute medical issues.
- Transfer is routine and non-urgent.
- Patient is ambulatory with assistance and has controlled pain.

Differential Diagnoses:
1. Post-Operative Transfer (primary and confirmed)
2. No other acute conditions identified based on report

Required Actions:
- Arrange non-emergency transport to Norðfjörður health clinic
- Ensure patient has all necessary discharge paperwork and medications
- Confirm receiving facility is prepared for patient arrival

Final Diagnosis

Final Diagnosis: Post-Operative Total Knee Replacement - Stable for Transfer
Key Findings:
- Physical examination confirmed patient's stable condition
- Surgical site is clean, no signs of infection
- Patient's pain well-controlled with current medication regimen
- No other complications noted

Outcome validated F4 priority assignment. Patient was safely transferred to local health clinic.

Learning Points:
1. F4 classification appropriate given patient's stable condition and routine transfer requirements.
2. Initial assessment correctly identified the absence of acute medical issues.
3. Clear communication between facilities is essential for smooth patient transfers.

Emergency Call Transcript