Emergency Scenario 735_f4

Location Information

Full Location:

Hafnarbraut 12, 735 Norðfjörður, first floor apartment 101. A two-story wooden residential building constructed in 1965. Main entrance with a code lock (1987). No elevator, central stairwell. Street parking available. Building equipped with smoke detectors. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2083° N, 14.2111° W. Nearest landmark: Norðfjörður harbor.

Municipality: Norðfjörður

Postal Code: 735

Emergency Details

Type: Dialysis Patient Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

76-year-old female, end-stage renal disease, requires routine transport to dialysis center in Egilsstaðir. Patient is stable, afebrile, and hemodynamically stable. No acute symptoms reported. Patient is wheelchair-bound. Patient is prepared for transport, with all necessary documentation.

History of Events

Timeline:
0800 hours: Patient completed breakfast.
0900 hours: Patient took prescribed medications.
1000 hours: Patient was prepared for transport by home health aide.
1015 hours: Caller, patient's daughter, contacted emergency services for scheduled transport.

Prior Events: Patient has been on hemodialysis for 5 years. No recent hospitalizations or acute medical events. Last dialysis session was two days ago. Patient has a history of hypertension, managed with medications. No known allergies. Patient has regular follow-ups with her nephrologist.

Diagnostics

Initial Assessment

Initial Impression: Stable patient requiring routine transport for scheduled dialysis.
Justification for F4 Classification:
- Patient is stable, without acute symptoms or vital sign abnormalities.
- Transport is for a scheduled procedure, not an acute medical emergency.
- Condition does not require immediate medical intervention or rapid transport.

Differential Diagnoses:
1. Routine dialysis transfer (primary diagnosis)
2. Potential for minor complications during transport (low probability)

Required Actions:
- Dispatch of BLS ambulance for scheduled transport
- Confirmation of dialysis appointment time
- Transport of patient with all necessary documentation and equipment

Final Diagnosis

Final Diagnosis: Routine Dialysis Transfer
Key Findings:
- Patient arrived at the dialysis center in stable condition.
- No changes in patient's condition during transport.
- Dialysis was performed as scheduled without complications.

Outcome validated F4 priority assignment. Routine transport was appropriate given patient's stable condition and scheduled appointment.

Learning Points:
1. F4 classification appropriate due to the non-emergent nature of the transfer.
2. Initial assessment accurately identified the patient's stability.
3. Coordination with the dialysis center ensured timely and efficient transfer.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Hello, this is Guðrún Jónsdóttir. My mother, Ingibjörg Eiríksdóttir, needs transport to her dialysis appointment in Egilsstaðir. She is ready to go.

Dispatcher Okay, I understand. What is your mother's address?

Caller She is at Hafnarbraut 12, apartment 101, in Norðfjörður.

Dispatcher And what is your mother's social security number?

Caller It's ******-****.

Dispatcher Okay, and is she stable and ready for transport?

Caller Yes, she is stable. She has her wheelchair and all her papers. The home health aide has already prepared her.

Dispatcher Alright, we will arrange a routine transport for her. It will be within the next 1-4 hours.

Caller Thank you very much. We appreciate it.