Emergency Scenario 780_f4

Location Information

Full Location:

Hafnarbraut 17, 780 Höfn, second floor of a two-story medical clinic. The building is a modern concrete structure, built in 2010. Main entrance is accessible via a ramp. The clinic has a central elevator and a stairwell. Parking is available in front of the building. Security is limited to standard door locks. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 64.2506° N, 15.2067° W. Nearest landmark: Höfn harbor.

Municipality: Höfn

Postal Code: 780

Emergency Details

Type: Oncology Patient Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

75-year-old female, known oncology patient, requires transfer from Höfn clinic to Landspítali in Reykjavík for planned chemotherapy. Patient is stable, ambulatory, and reports no acute symptoms. Medical history includes Stage 3 breast cancer, currently undergoing treatment. Patient has a port-a-cath in place. Vitals stable: BP 130/80, HR 78, RR 16, SpO2 98% on room air. Patient is alert and oriented.

History of Events

Timeline:
0800 hours: Patient had a light breakfast.
0900 hours: Patient attended scheduled oncology appointment at Höfn clinic.
1000 hours: Decision made for planned transfer to Reykjavík for chemotherapy.
1030 hours: Transfer request made by clinic staff to dispatch center.

Prior Events: Patient was diagnosed with breast cancer 1 year ago. Undergoing chemotherapy with good tolerance. No recent hospitalizations except for scheduled treatments. Last check-up was 1 week ago, routine follow-up. Patient lives with her husband and is independent in daily activities.

Diagnostics

Initial Assessment

Initial Impression: Stable Oncology Patient for Planned Transfer
Justification for F4 Classification:
- Patient is stable, ambulatory, and reports no acute symptoms.
- Transfer is for planned chemotherapy, not an emergency.
- Response time goal is routine (1-4 hours).

Differential Diagnoses:
- No acute medical issues identified. Transfer is for a planned procedure.
- Possibility of mild anxiety related to travel, but not clinically significant.

Required Actions:
- Arrange for non-emergency transport with appropriate medical personnel.
- Confirm patient’s medication list and ensure it accompanies her during transport.
- Coordinate transfer with Landspítali oncology department.

Final Diagnosis

Final Diagnosis: Stable Oncology Patient for Planned Chemotherapy
Key Findings:
- Patient remained stable throughout transfer preparation and transport.
- All vital signs were within normal limits during assessment and transport.
- No new medical issues arose during the transfer.

Outcome validated F4 priority assignment. Routine transport was appropriate.

Learning Points:
1. F4 classification was accurate based on the stable nature of the patient and planned nature of the transfer.
2. Pre-transfer assessment confirmed no emergent conditions, ensuring appropriate resource allocation.
3. Coordination with both sending and receiving facilities was key to a smooth transfer process.

Emergency Call Transcript

Dispatcher Emergency services, this is the dispatch center, how can I help you?

Caller Hello, this is Guðrún Jónsdóttir from the oncology clinic in Höfn. We need to arrange a transfer for a patient to Landspítali in Reykjavík.

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

Caller Yes, the patient is a 75-year-old female, name is Anna Einarsdóttir, kennitala is ******-****. She needs to go to Reykjavík for her scheduled chemotherapy.

Dispatcher Is she stable for transport?

Caller Yes, she is completely stable. She is ambulatory and has no acute symptoms. Her vitals are all normal. She has a port-a-cath.

Dispatcher Okay, is this a routine transfer then?

Caller Yes, this is a routine transfer for planned treatment. She's been here for her checkup this morning and is cleared to travel.

Dispatcher Understood. We will arrange a non-emergency transport for her. Do you have her medication list ready?

Caller Yes, we have the list ready, and we will ensure it goes with her. Thank you.

Dispatcher Okay, we will coordinate with Landspítali. We'll be in touch with the transport details. Is there anything else?

Caller No, that’s all. Thank you for your help.