Emergency Scenario 735_f4

Location Information

Full Location:

Hafnargata 14, 735 Norðfjörður. Single-story wooden structure built in 1955, used as a small nursing home. Main entrance is a single door with a ramp. No security features. Parking available directly in front of the building. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2048° N, 13.9948° 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 male, post-operative transfer required from Norðfjörður nursing home to Egilsstaðir hospital. Patient underwent a left total knee replacement 3 days ago. Currently stable with no acute complications. Transfer is for continued physiotherapy and rehabilitation. Patient is ambulatory with assistance and reports mild pain (3/10) at surgical site. No fever, no signs of infection. Patient is alert and oriented. Patient is fasting for transport, last meal was at 19:00 the previous evening.

History of Events

Timeline:
3 days ago: Patient underwent left total knee replacement surgery at Egilsstaðir hospital.
2 days ago: Patient transferred to Norðfjörður nursing home for post-operative care.
Today: Routine transfer requested to Egilsstaðir for continued physiotherapy and rehabilitation.

Prior Events: Patient has a history of osteoarthritis, managed with NSAIDs and physical therapy. No history of heart disease, diabetes, or respiratory issues. No recent illnesses or injuries. Last medical check-up 1 week ago, pre-operative assessment. Patient is a resident of the nursing home.

Diagnostics

Initial Assessment

Initial Impression: Stable Post-Operative Transfer
Justification for F4 Classification:
- Patient is stable with no acute symptoms or complications.
- Transfer is for routine rehabilitation, not for acute medical care.
- No immediate threat to life or limb.

Differential Diagnoses:
1. Post-operative pain (mild, controlled with oral analgesics)
2. Potential for infection (no current signs or symptoms)
3. DVT/PE (low risk, no signs or symptoms)

Required Actions:
- Coordinate routine ambulance transport with BLS capabilities.
- Ensure patient has appropriate discharge documentation and medications.
- Confirm receiving hospital is aware of transfer.

Final Diagnosis

Final Diagnosis: Stable Post-Operative Status Following Total Knee Replacement
Key Findings:
- Patient's condition remained stable throughout transfer.
- No new symptoms or complications developed.
- Physical examination upon arrival at Egilsstaðir hospital confirmed surgical site was healing well.

Outcome validated F4 priority assignment. Transfer was completed without incident. Patient continued with scheduled physiotherapy.

Learning Points:
1. F4 classification appropriate due to the non-urgent nature of the transfer
2. Pre-transfer assessment accurately identified the patient's stable condition
3. Clear communication between facilities ensured a smooth transfer process

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Guðrún from the Norðfjörður nursing home. We need to arrange a routine transfer for one of our patients.

Dispatcher Okay, can you give me the patient's details and the reason for the transfer?

Caller Yes, the patient is a 72-year-old male, he had a knee replacement 3 days ago and we need to transfer him to Egilsstaðir hospital for continued physiotherapy.

Dispatcher Is he stable at the moment?

Caller Yes, he is stable. No fever, no signs of infection, he's just having some mild pain at the surgery site.

Dispatcher Okay, and what is your address?

Caller We are at Hafnargata 14, 735 Norðfjörður.

Dispatcher Alright, I'll arrange a routine transfer for him. It will be within the next 1-4 hours. Is there anything else I need to know?

Caller He is fasting for the transfer, his last meal was at 7 PM yesterday. He has all his discharge papers and medication ready.

Dispatcher Okay, thank you for the information. We will be in contact when the transport is on its way.

Caller Thank you.