Emergency Scenario 780_f4

Location Information

Full Location:

Hafnarbraut 10, 780 Höfn, ground floor. Single-story building, constructed in 1985, concrete with corrugated metal roof. Main entrance is at street level with no steps. Building has no security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 64.2531° N, 15.2082° W. Nearest landmark: Höfn harbor.

Municipality: Höfn

Postal Code: 780

Emergency Details

Type: Dialysis Patient Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

72-year-old female patient requiring routine transfer for scheduled dialysis treatment. Patient is stable and asymptomatic. Patient is wheelchair-bound. Medical history: End-stage renal disease, hypertension, type 2 diabetes. Medications: Insulin 10 units twice daily, Lisinopril 10mg daily, Sevelamer 800mg three times daily. No known allergies. Last meal was a light lunch at 12:00.

History of Events

Timeline:
1300 hours: Patient completed her lunch and is now ready for scheduled dialysis transfer.
1315 hours: Patient's daughter called dispatch to confirm transport.
1320 hours: Current time, patient is stable and awaiting transport.

Prior Events: Patient has been receiving dialysis three times a week for the past 5 years. No recent hospitalizations or changes in health status. Routine dialysis appointments are scheduled for every Monday, Wednesday, and Friday. Last dialysis session was on Friday and was uneventful.

Diagnostics

Initial Assessment

Initial Impression: Stable patient for scheduled dialysis transfer.
Justification for F4 Classification:
- Patient is stable with no acute symptoms or distress.
- Routine transfer for scheduled medical procedure.
- No time-critical interventions required.

Differential Diagnoses:
1. Scheduled Dialysis Transfer (primary diagnosis)
2. Fluid Overload (low probability, no reported symptoms)
3. Hypoglycemia (low probability, patient ate recently)
4. Hypertension (patient is on medication and has no acute symptoms)

Required Actions:
- Dispatch of non-emergency transport vehicle
- Confirmation of patient's dialysis appointment time
- Safe and comfortable transport to the dialysis center

Final Diagnosis

Final Diagnosis: Routine Dialysis Transfer
Key Findings:
- Patient arrived at dialysis center without incident, vital signs stable.
- Dialysis session proceeded as scheduled without complications.
- No changes in health status were observed during transport.

Outcome validated F4 priority assignment. Routine transport was appropriate and timely. No unexpected events occurred during the transfer.

Learning Points:
1. F4 classification appropriate for routine, stable patient transfers
2. Dispatch information was accurate and complete
3. Coordination with dialysis center ensured smooth transfer

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Hello, this is Guðrún Jónsdóttir, calling for my mother, she needs her routine dialysis transport to the center in Höfn.

Dispatcher Okay, I see. What is your mother's name and social security number?

Caller Her name is Anna Einarsdóttir and her kennitala is ******-****.

Dispatcher Thank you. And what is your address?

Caller It's Hafnarbraut 10 in Höfn.

Dispatcher Okay, I see. Is she ready for transport now?

Caller Yes, she had her lunch and is ready to go. She is in her wheelchair.

Dispatcher Okay, we will send a transport vehicle. It should arrive within the next few hours.

Caller Perfect, thank you very much.

Dispatcher You're welcome, have a good day.