Emergency Scenario 780_f4

Location Information

Full Location:

Hlíðarvegur 7, 780 Vopnafjörður, single-story residential home. Constructed in 1985, wooden frame. Main entrance with a small step. Gravel driveway. No security features. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 65.7628° N, 14.8279° W. Nearest landmark: Vopnafjarðarhreppur community center.

Municipality: Vopnafjörður

Postal Code: 780

Emergency Details

Type: Rehabilitation Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

72-year-old male, post-operative hip replacement, stable for transfer. Patient is alert and oriented, no acute complaints. Transfer from Vopnafjörður Health Clinic to Akureyri Rehabilitation Center. Patient requires wheelchair assistance for mobility. Medical history: Left hip replacement 5 days ago, uncomplicated post-operative course. Medications: Paracetamol 500mg PRN, Enoxaparin 40mg daily. No known allergies. Last meal was lunch at 12:00.

History of Events

Timeline:
0900 hours: Patient completed morning physiotherapy session, stable.
1200 hours: Patient ate lunch, no adverse reactions.
1300 hours: Patient is ready for transfer, all paperwork completed.
1315 hours: Transfer request made by clinic staff.

Prior Events: Patient underwent left hip replacement 5 days ago at Akureyri Hospital. Post-operative course has been uneventful. No recent infections or complications. Patient is medically cleared for transfer to rehabilitation.

Diagnostics

Initial Assessment

Initial Impression: Post-operative Hip Replacement, Stable for Transfer
Justification for F4 Classification:
- Patient is clinically stable, no acute medical issues
- Transfer is for rehabilitation purposes, not emergent
- Patient requires transport assistance but is otherwise well

Differential Diagnoses:
1. Post-operative hip replacement (confirmed)
2. Minor discomfort related to surgery (expected)
3. No other significant differential diagnoses

Required Actions:
- Dispatch of non-emergency transport with wheelchair capabilities
- Ensure all transfer paperwork is complete
- Confirm patient stability prior to transport
- Transfer to Akureyri Rehabilitation Center

Final Diagnosis

Final Diagnosis: Post-operative Hip Replacement, Stable for Rehabilitation
Key Findings:
- Patient's vital signs are stable: HR 78, BP 130/80, RR 16, SpO2 98% on room air
- Surgical site is clean and dry, no signs of infection
- Patient is comfortable and reports minimal pain (2/10)

Outcome validated F4 priority assignment. Transfer was routine and uneventful. Patient arrived at rehabilitation center without any complications.

Learning Points:
1. F4 classification was appropriate given patient stability and transfer purpose
2. Thorough pre-transfer assessment ensured patient safety
3. Effective communication between the clinic and transport team ensured a smooth transfer

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Guðrún from Vopnafjörður Health Clinic. We need a transfer for a patient to Akureyri Rehabilitation Center.

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

Caller It's Jón Einarsson, kennitala ******-****. He's post-op hip replacement, stable for rehab transfer.

Dispatcher Is he stable? Any immediate medical needs?

Caller Yes, he's completely stable, no acute issues. He just needs a wheelchair for transport.

Dispatcher Okay, and the address is Hlíðarvegur 7, Vopnafjörður?

Caller Yes, that's correct. All the paperwork is ready.

Dispatcher Okay, I'll arrange a non-emergency transport. Expect them within the next few hours.

Caller Perfect, thank you for your help.