Emergency Scenario 780_f4

Location Information

Full Location:

Hafnarbraut 12, 780 Höfn, second floor of a private residence. Two-story wooden house built in 1985. Main entrance is on the ground floor. No elevator. Stairwell access to the second floor. Street parking available. Current conditions: 8°C, overcast, light winds, good visibility. GPS coordinates: 64.2523° N, 15.2069° W. Nearest landmark: Höfn harbor.

Municipality: Höfn

Postal Code: 780

Emergency Details

Type: Oncology Patient Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

65-year-old female, known oncology patient with advanced pancreatic cancer. Scheduled transfer from home to local healthcare center for palliative care. Patient is stable, conscious, and comfortable. Primary symptoms: Chronic pain controlled with oral medication. Secondary symptoms: Fatigue. Patient is mobile with assistance. Medical history: Pancreatic cancer diagnosed 18 months ago, recent chemotherapy. Medications: Oxycodone 10mg every 4 hours, Paracetamol 1000mg every 6 hours, Ondansetron 4mg as needed. Allergies: None known. Last oral intake was a light meal at 07:00. No acute changes in condition. Patient is sitting in her living room.

History of Events

Timeline:
0700 hours: Patient had a light breakfast.
0900 hours: Scheduled transfer request initiated by healthcare provider.
1000 hours: Current time, patient is stable and awaiting transport.

Prior Events: Patient has been receiving palliative care at home for the past two months. No recent hospitalizations. Regular home visits by palliative care nurse. Patient has been stable on current medication regimen for the past month. No recent infections or complications.

Diagnostics

Initial Assessment

Initial Impression: Scheduled Palliative Transfer
Justification for F4 Classification:
- Patient is stable with no acute medical issues.
- Transfer is for scheduled palliative care, not an emergency.
- Condition is chronic and well-managed.
- Response time is not time-critical.

Differential Diagnoses:
1. Stable Oncology Patient (primary consideration)
2. No other acute conditions are suspected

Required Actions:
- Dispatch of non-emergency transport service
- Ensure patient comfort during transport
- Proper documentation of medications and care plan
- Coordinate with receiving healthcare facility

Final Diagnosis

Final Diagnosis: Advanced Pancreatic Cancer, Palliative Care Transfer
Key Findings:
- Patient remains stable with no changes in condition during transfer.
- Pain is adequately controlled with prescribed medication.
- Patient is comfortable and cooperative.

Outcome validated F4 priority assignment. Scheduled transfer was completed without incident.

Learning Points:
1. F4 classification was appropriate given the stable and non-acute nature of the transfer.
2. No deviations from the expected clinical presentation.
3. Proper coordination between dispatch, transport, and healthcare facility is essential for scheduled transfers.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Hello, this is Guðrún Jónsdóttir. I am calling about the scheduled transfer for my mother, she is ready to go.

Dispatcher Okay, can you confirm your mother's name and address?

Caller Yes, her name is Sigríður Ólafsdóttir, and we are at Hafnarbraut 12 in Höfn.

Dispatcher Thank you, and what is her kennitala?

Caller It is ******-****

Dispatcher Okay, is she comfortable and ready for transport?

Caller Yes, she is comfortable. She had her breakfast and took her pain medication. She's just a little tired, but otherwise okay.

Dispatcher And what is her medical condition?

Caller She has pancreatic cancer and is receiving palliative care. We are transferring her to the local healthcare center for better support.

Dispatcher Okay, I understand. The transport team is being notified. They should arrive within the next few hours. Do you have any questions?

Caller No, that's all. Thank you for your help.

Dispatcher You're welcome, we will be in touch if anything changes.