Emergency Scenario 780_f4

Location Information

Full Location:

Hafnarbraut 12, 780 Höfn, ground floor apartment. Single-story wooden residential building built in 1965. Main entrance accessible via a small ramp. Street parking available. No known security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 64.2500° N, 15.2000° W. Nearest landmark: Höfn harbor.

Municipality: Höfn

Postal Code: 780

Emergency Details

Type: Geriatric Care Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

85-year-old female, scheduled transfer from home to nursing home. Patient is stable but requires assistance with mobility. Primary symptoms: General weakness, reduced mobility. Patient is alert and cooperative. Medical history: Dementia, mild COPD, hypertension. Medications: Donepezil 10mg daily, Salbutamol inhaler PRN, Amlodipine 5mg daily. No known allergies. Last meal was a light lunch at 12:00.

History of Events

Timeline:
1300 hours: Patient had lunch, no acute issues reported.
1400 hours: Patient prepared for transfer by family and home care staff.
1430 hours: Call made for scheduled transport to nursing home.
1445 hours: Current time, patient is stable and awaiting transport.

Prior Events: Patient has been declining slowly over the past year due to dementia progression. Patient has been receiving home care services for the past six months. No recent hospitalizations or acute illnesses. Transfer is pre-arranged and scheduled.

Diagnostics

Initial Assessment

Initial Impression: Scheduled Geriatric Transfer
Justification for F4 Classification:
- Patient is stable and not experiencing acute symptoms
- Transfer is pre-planned and non-urgent
- No immediate medical intervention required

Differential Diagnoses:
1. Stable dementia (primary condition)
2. Mild COPD (stable, no acute exacerbation)
3. Hypertension (controlled with medication)

Required Actions:
- Dispatch of non-emergency transport
- Assistance with patient transfer from home to transport vehicle
- Ensure patient comfort during transfer
- Transfer to scheduled nursing home facility

Final Diagnosis

Final Diagnosis: Scheduled Geriatric Transfer, stable chronic conditions.
Key Findings:
- Patient remained stable throughout transfer process
- No changes in vital signs or mental status observed
- Patient transferred to nursing home without incident

Outcome validated F4 priority assignment. Scheduled transfer was completed successfully.

Learning Points:
1. F4 classification appropriate for pre-planned, stable patient transfers
2. Dispatch should confirm patient stability and transfer readiness prior to dispatch
3. Clear communication between dispatch, home care staff, and transport personnel is essential for successful transfer

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller This is Guðrún Jónsdóttir, calling for my mother, for her scheduled transfer to the nursing home.

Dispatcher Okay, can you confirm her name and address?

Caller Yes, it's Anna Eiríksdóttir, at Hafnarbraut 12 in Höfn.

Dispatcher And what is her social security number?

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

Dispatcher Is she stable and ready for transport?

Caller Yes, she is stable. She's a bit weak but otherwise fine. She has dementia, COPD, and high blood pressure but all are stable.

Dispatcher Has she had lunch today?

Caller Yes, she had a light lunch at 12:00. She's been prepared for the transfer by the home care staff.

Dispatcher Okay, I'll arrange for a routine transport. It should arrive within the next 1 to 4 hours.

Caller Thank you very much.