Emergency Scenario 780_f4

Location Information

Full Location:

Hafnarbraut 10, 780 Höfn, first floor of the nursing home. Single-story concrete building built in 1985, with easy access through main entrance. No security features, open during the day. Parking available in front. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 64.2514° N, 15.2076° W. Nearest landmark: Höfn harbor.

Municipality: Höfn

Postal Code: 780

Emergency Details

Type: Rehabilitation Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

82-year-old male, post-stroke rehabilitation transfer. Patient is stable, requires transfer from nursing home in Höfn to rehabilitation center in Egilsstaðir for continued therapy. Patient has limited mobility, needs assistance with transfers. Patient is alert and cooperative. No acute medical issues reported. Patient is currently in a wheelchair. Medical history: Left-sided stroke 3 months ago, resulting in right-sided hemiparesis. Controlled hypertension, type 2 diabetes. Medications: Aspirin 75mg daily, Metformin 500mg twice daily, Lisinopril 10mg daily. No known allergies. Last meal was lunch at 12:00, light soup and bread.

History of Events

Timeline:
1400 hours: Nursing staff completed routine check-up, patient stable
1415 hours: Transfer request received by dispatch
1420 hours: Current time, patient is prepared for transfer

Prior Events: Patient suffered a stroke 3 months ago, has been undergoing rehabilitation in Höfn. Progressing well with therapy but requires more intensive rehabilitation in Egilsstaðir. No recent changes in medical condition. Patient is stable and cooperative. No recent falls or injuries. Last medical check-up was 2 days ago, routine follow-up.

Diagnostics

Initial Assessment

Initial Impression: Stable post-stroke rehabilitation transfer
Justification for F4 Classification:
- Patient is stable, no acute medical issues
- Transfer is for ongoing rehabilitation, not for acute care
- No time-critical elements requiring immediate response

Differential Diagnoses:
1. Stable post-stroke patient requiring transfer (primary diagnosis)
2. No other acute medical issues suspected

Required Actions:
- Dispatch of non-emergency transport with appropriate equipment for wheelchair transfer
- Confirmation of receiving facility's availability
- Coordination of transfer logistics with nursing home staff

Final Diagnosis

Final Diagnosis: Stable post-stroke rehabilitation transfer
Key Findings:
- Patient's condition remained stable throughout the transfer process
- No changes in vital signs or clinical status
- Patient arrived at the rehabilitation center in Egilsstaðir without incident

Outcome validated F4 priority assignment. The transfer was routine and uneventful. No deviations from the initial assessment.

Learning Points:
1. F4 classification was appropriate for a stable rehabilitation transfer
2. Accurate assessment of patient stability is essential for efficient resource allocation
3. Good communication between dispatch, sending and receiving facilities is key for smooth transfers

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Guðrún from the nursing home in Höfn. We need a non-emergency transfer for a patient to the rehabilitation center in Egilsstaðir.

Dispatcher Okay, can you provide the patient's name and date of birth?

Caller It's Ólafur Einarsson, born on May 12th, 1941. Kennitala is ******-****.

Dispatcher Okay, and what is his condition? Is he stable?

Caller Yes, he is stable. He had a stroke three months ago and is now being transferred for further rehabilitation. He is in a wheelchair and needs assistance with transfers.

Dispatcher Does he have any other medical conditions or medications?

Caller He has controlled hypertension and type 2 diabetes. He takes aspirin, metformin, and lisinopril. No allergies.

Dispatcher Alright. We will arrange a non-emergency transfer for him. Please ensure he is ready when the transport arrives. What is the address of the nursing home?

Caller The address is Hafnarbraut 10, 780 Höfn. He will be ready. Thank you.

Dispatcher You're welcome. We'll be in touch with an estimated time of arrival.