Emergency Scenario 780_f4

Location Information

Full Location:

Hafnarbraut 10, 780 Höfn, ground floor of a single-story medical clinic. The building is a modern, single-story structure built in 2010, with a large parking area. Main entrance is accessible via a ramp. The clinic has automatic doors. Weather conditions are overcast, 8°C, with light wind. GPS coordinates: 64.2528° 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:

68-year-old male, known oncology patient with metastatic lung cancer, scheduled for routine transfer from Höfn medical clinic to Landspítali in Reykjavik for planned chemotherapy. Patient is stable, afebrile, and reports no new symptoms. He is ambulatory with minimal assistance. The transfer is pre-arranged and requires a non-emergency transport service. Patient has a history of COPD, hypertension, and type 2 diabetes. He is currently receiving palliative care.

History of Events

Timeline:
0800 hours: Patient arrived at Höfn medical clinic for pre-transfer assessment.
0830 hours: Medical staff completed assessment, confirming patient's stable condition.
0900 hours: Transfer request initiated by clinic staff.
0915 hours: Current time, patient is awaiting transport. 

Prior Events: Patient diagnosed with metastatic lung cancer 18 months ago. Undergoing palliative chemotherapy. Last chemotherapy session was 3 weeks ago. No recent hospitalizations for acute issues. Regular follow-ups at the oncology clinic. Patient has a history of smoking (quit 5 years ago), COPD diagnosed 10 years ago, and well-controlled type 2 diabetes.

Diagnostics

Initial Assessment

Initial Impression: Stable Oncology Patient for Routine Transfer
Justification for F4 Classification:
- Patient is clinically stable with no acute symptoms.
- Transfer is pre-planned and non-urgent.
- No immediate medical intervention is required during transport.

Differential Diagnoses:
1. Stable oncology patient (primary diagnosis)
2. Potential for mild discomfort during transport (low probability)
3. Exacerbation of underlying conditions (low probability, but monitored)

Required Actions:
- Dispatch of non-emergency patient transport service.
- Ensure patient comfort during transfer.
- Provide necessary documentation for receiving hospital.

Final Diagnosis

Final Diagnosis: Stable Oncology Patient for Scheduled Chemotherapy
Key Findings:
- Patient's vital signs remained stable throughout the transfer.
- No new symptoms developed during transport.
- Patient arrived at Landspítali as scheduled.

Outcome validated F4 priority assignment. The patient was transferred without incident, and no emergency intervention was required.

Learning Points:
1. F4 classification was appropriate for this pre-planned transfer.
2. Detailed patient history and pre-transfer assessment are crucial for proper prioritization.
3. Effective communication between referring and receiving facilities ensures smooth transfers.

Emergency Call Transcript

Dispatcher Emergency services, what is your emergency?

Caller This is Jón Einarsson calling from the Höfn medical clinic. We need to arrange a patient transfer to Landspítali.

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

Caller Yes, the patient is Jón Jónsson, kennitala ******-****. He's a 68-year-old oncology patient with lung cancer. He's scheduled for chemotherapy in Reykjavik.

Dispatcher Is the patient stable and are there any immediate medical concerns?

Caller Yes, he's stable. No new symptoms. He's ambulatory and has been assessed by our medical staff this morning.

Dispatcher Okay, this sounds like a routine transfer. What is the address of the clinic?

Caller It's Hafnarbraut 10, 780 Höfn. We're ready when the transport arrives.

Dispatcher Alright, I'll arrange a non-emergency transport service. They should arrive within the next 1 to 4 hours. Is there anything else?

Caller No, that's all. Thank you.