Emergency Scenario 780_f4_5

Location Information

Hlíðarvegur 14, 780 Vopnafjörður. Single-story detached house built in 1985, wood construction. Main entrance has a single step. No security features. Gravel driveway. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.7652° N, 14.8347° W. Nearest landmark: Vopnafjarðarkirkja church.

Emergency Details

65-year-old female, end-stage renal disease, requires routine transfer from home to dialysis center in Egilsstaðir. Patient stable, no acute symptoms. Patient is wheelchair bound. Requires assistance with transfer. Patient reports no pain or discomfort.  Patient has scheduled dialysis appointment at 14:00.

History of Events

Timeline:
0900 hours: Patient completed morning routine, took medications.
0915 hours: Patient contacted dialysis center to confirm transport.
0920 hours: Dialysis center contacted emergency services for routine transfer.
0925 hours: Current time, patient is awaiting transport.

Prior Events: Patient has been on dialysis for 3 years. No recent hospitalizations. Stable condition on regular dialysis schedule. Last dialysis treatment was two days ago. Patient has chronic kidney disease, hypertension, and type 2 diabetes. No recent changes in health status. Patient lives alone but receives regular home care visits.

Diagnostics

Initial Assessment

Initial Impression: Routine Dialysis Transfer
Justification for F4 Classification:
- Patient is stable with no acute symptoms
- Transfer is for scheduled dialysis appointment, not an emergency
- No immediate threat to life or limb

Differential Diagnoses:
1. Scheduled Dialysis Transfer (primary diagnosis)
2. Potential complications from dialysis (not present at this time)
3. Potential complications from underlying conditions (not present at this time)

Required Actions:
- Dispatch of non-emergency transport service
- Patient transfer to dialysis center in Egilsstaðir
- Monitoring of patient during transport for any changes in condition

Final Diagnosis

Final Diagnosis: Routine Dialysis Transfer
Key Findings:
- Patient arrived at dialysis center in stable condition
- No complications during transport
- Dialysis treatment initiated as scheduled

Outcome validated F4 priority assignment. Transfer was routine and uneventful. Patient tolerated the transport well.

Learning Points:
1. F4 classification was appropriate due to the non-urgent nature of the transfer
2. Pre-transfer assessment confirmed patient's stable condition
3. No additional medical interventions were required during transport

Emergency Call Transcript