Emergency Scenario 780_f4

Location Information

Full Location:

Heilsugæslustöðin Höfn, Hafnarbraut 12, 780 Höfn. Single-story medical clinic, constructed in 1985. Main entrance faces the street, wheelchair accessible. Parking available in front of the building. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 64.2525° N, 15.2083° 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:

65-year-old male, chronic renal failure, requires routine transfer from Höfn clinic to Landspítali for scheduled dialysis. Patient stable, no acute symptoms. Patient is ambulatory with assistance. Patient has a history of hypertension and type 2 diabetes. Patient is alert and cooperative. No current complaints besides the need for dialysis.

History of Events

Timeline:
0800 hours: Patient arrived at Höfn clinic for pre-dialysis assessment
0830 hours: Assessment completed, patient deemed stable for transfer
0845 hours: Transfer request initiated by clinic staff
0900 hours: Current time, patient awaiting transport

Prior Events: Patient undergoes dialysis three times weekly at Landspítali. Patient has had no recent changes in his medical condition. Last dialysis session was two days ago. No recent illnesses or injuries. Regular check-ups with nephrologist.

Diagnostics

Initial Assessment

Initial Impression: Routine Dialysis Patient Transfer
Justification for F4 Classification:
- Patient is stable with no acute medical concerns
- Transfer is for a scheduled procedure
- No immediate risk to patient's health or safety

Differential Diagnoses:
1. Stable chronic renal failure (primary diagnosis)
2. Hypertension (controlled with medication)
3. Type 2 Diabetes (controlled with medication)

Required Actions:
- Schedule non-emergency transport to Landspítali
- Ensure patient's dialysis schedule is met
- Coordinate with Landspítali for patient arrival

Final Diagnosis

Final Diagnosis: Stable Chronic Renal Failure requiring scheduled dialysis.
Key Findings:
- Patient's vital signs were stable throughout the transfer process
- No new symptoms or complications arose during transport
- Patient arrived at Landspítali without incident

Outcome validated F4 priority assignment. Patient was successfully transferred for scheduled dialysis. 

Learning Points:
1. F4 classification appropriate due to the routine nature of the transfer
2. Initial assessment accurately identified the patient's stable condition
3. Coordination with both clinics ensured a smooth transfer

Emergency Call Transcript

Dispatcher Emergency services, this is the dispatch center, how can I help you?

Caller Good morning, this is Guðrún from the Höfn clinic. We need to schedule a routine transfer for a dialysis patient to Landspítali.

Dispatcher Okay, can you provide the patient's name and social security number?

Caller Yes, the patient is Jón Einarsson, social security number is ******-****.

Dispatcher Thank you, and what is the patient's current condition?

Caller He is stable, no acute issues, just needs his regular dialysis. He is ambulatory with a little help.

Dispatcher Alright, and where is he located right now?

Caller He is here at the Heilsugæslustöðin Höfn, Hafnarbraut 12.

Dispatcher Understood. I'll schedule a routine transfer for him. Is there a preferred time for the transfer?

Caller Anytime within the next few hours is fine. His dialysis is scheduled for this afternoon.

Dispatcher Okay, I will arrange transport. Expect them within the next 1-4 hours. Is there anything else?

Caller No, that's all. Thank you very much.

Dispatcher You're welcome. Have a good day.