Emergency Scenario 780_f4

Location Information

Full Location:

Hafnarbraut 2, 780 Vopnafjörður. Single-story residential care facility. Main entrance is on the south side, accessible via a ramp. No security features, open access during daytime. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.7501° N, 14.8269° W. Nearest landmark: Vopnafjörður harbor.

Municipality: Vopnafjörður

Postal Code: 780

Emergency Details

Type: Rehabilitation Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

88-year-old male, post-stroke rehabilitation patient, stable condition. Transfer required from Vopnafjörður care facility to Akureyri rehabilitation center for ongoing therapy. Patient is wheelchair-bound, alert and oriented, but has left-sided hemiparesis. Primary symptoms: Stable left-sided weakness, difficulty with fine motor skills. Secondary symptoms: Mild dysarthria. Patient is cooperative and comfortable. Medical history: Ischemic stroke 3 months ago, hypertension, type 2 diabetes. Medications: Aspirin 75mg daily, Ramipril 5mg daily, Metformin 500mg twice daily. No known allergies. Last meal was lunch at 12:00.

History of Events

Timeline:
0900 hours: Patient completed morning physiotherapy session.
1000 hours: Patient had breakfast, tolerated well.
1100 hours: Patient resting comfortably in his room.
1300 hours: Transfer request initiated by care facility staff.
1315 hours: Current time, patient is prepared for transfer. 

Prior Events: Patient admitted to the care facility for post-stroke rehabilitation 2 months ago. No recent changes in medical condition. Stable vital signs. No acute illnesses or injuries since admission. Last medical check-up was 2 days ago, routine assessment.

Diagnostics

Initial Assessment

Initial Impression: Stable Post-Stroke Rehabilitation Transfer
Justification for F4 Classification:
- Patient is medically stable, no acute symptoms
- Transfer is for ongoing rehabilitation, not an emergency
- No immediate life threats or time-sensitive medical issues

Differential Diagnoses:
1. Post-Stroke Rehabilitation (confirmed primary condition)
2. Potential for minor complications during transfer (low probability)

Required Actions:
- Dispatch of non-emergency transport vehicle with appropriate wheelchair access
- Ensure all medical records and medications are transferred with the patient
- Monitor vital signs during transport as a precaution
- Coordination with Akureyri rehabilitation center for patient arrival

Final Diagnosis

Final Diagnosis: Stable Post-Stroke Rehabilitation Transfer
Key Findings:
- Patient's condition remained stable throughout the transfer
- No changes in vital signs or neurological status
- Transfer was completed without complications

Outcome validated F4 priority assignment. Routine transport was appropriate. Patient arrived at Akureyri rehabilitation center without incident.

Learning Points:
1. F4 classification appropriate due to the stable and non-urgent nature of the transfer
2. Initial assessment accurately identified the patient's medical stability
3. Routine transport protocols were sufficient for this transfer case

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Hello, this is Hildur from the care facility in Vopnafjörður. We need to arrange a transfer for one of our patients.

Dispatcher Okay, what is the patient's name and what is the reason for the transfer?

Caller The patient is Ólafur Einarsson, kennitala ******-****. He needs to be transferred to the rehabilitation center in Akureyri.

Dispatcher What is his current condition?

Caller He's stable, post-stroke, with left-sided weakness. He's in a wheelchair. No acute issues, just needs ongoing rehabilitation.

Dispatcher Does he have any other medical conditions?

Caller Yes, he has hypertension and type 2 diabetes. He takes medication for all of these. He's alert and comfortable.

Dispatcher Okay, this is a routine transfer. We'll arrange transport within the next few hours. Is he ready to go?

Caller Yes, he is ready. We have all his medical records and medications prepared. Thank you.