Emergency Scenario 780_f4_6

Location Information

Hafnarbraut 2, 780 Höfn, ground floor of a single-story rehabilitation center. Main entrance is accessible via a ramp. No security features. Parking available in front of the building. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 64.2529° N, 15.2066° W. Nearest landmark: Höfn harbor.

Emergency Details

78-year-old male, scheduled transfer from rehabilitation center in Höfn to his residence in the same town. Patient is stable, post-stroke, with mild right-sided weakness. Requires assistance with ambulation. Patient is alert, oriented, and cooperative. No acute medical issues. Transfer is for continuation of rehabilitation at home.

History of Events

Timeline:
Patient admitted to rehabilitation center 3 weeks ago following a stroke. Patient has made good progress with physical therapy. Patient is now cleared for discharge to home with home health services. No acute events in the past 24 hours. Patient is on a regular diet and medication regimen. Last physical therapy session was this morning, no adverse events. Patient has been stable since admission. Transfer is scheduled for 14:00 today.

Prior Events: Patient suffered a left-sided ischemic stroke 3 weeks ago. Initial symptoms included right-sided weakness and mild aphasia. Patient has received comprehensive rehabilitation services. Patient has a history of hypertension, managed with medication. No other significant medical history. Patient is a non-smoker and does not consume alcohol.

Diagnostics

Initial Assessment

Initial Impression: Routine Rehabilitation Transfer
Justification for F4 Classification:
- Patient is stable and not acutely ill
- Transfer is pre-planned and scheduled
- No immediate medical concerns
- No time-sensitive issues

Differential Diagnoses:
1. Stable Post-Stroke Condition (primary diagnosis)
2. Potential for minor complications (low probability)

Required Actions:
- Dispatch of non-emergency transport
- Transfer of patient with assistance
- Ensure patient comfort during transport
- Transfer of patient's medical records and medication list

Final Diagnosis

Final Diagnosis: Stable Post-Stroke Rehabilitation Transfer
Key Findings:
- Patient's condition remained stable throughout the transfer
- Patient's vital signs were within normal limits
- Patient tolerated transfer well with no adverse events

Outcome validated F4 priority assignment. Transfer was uneventful and completed as scheduled. Patient was safely delivered to his home.

Learning Points:
1. F4 classification appropriate for stable, pre-planned transfers
2. No acute issues identified during the transfer
3. Proper planning and communication ensured a smooth transfer process

Emergency Call Transcript