Emergency Scenario 900_f4

Location Information

Full Location:

Heiðarvegur 2, 900 Vestmannaeyjar. Single-story residential home built in 1985. Main entrance is on the south side of the building. No stairs. Wheelchair accessible. Street parking available. No known security features. Current conditions: 10°C, overcast, good visibility. GPS coordinates: 63.4403° N, 20.2727° W. Nearest landmark: Vestmannaeyjar Hospital.

Municipality: Vestmannaeyjar

Postal Code: 900

Emergency Details

Type: Dialysis Patient Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

65-year-old male, end-stage renal disease, requires routine transport for scheduled hemodialysis. Patient stable, no acute symptoms. Patient reports feeling well and has no complaints. Patient is mobile and can self-transfer to transport vehicle. Patient is scheduled for dialysis at Vestmannaeyjar Hospital.

History of Events

Patient has a history of end-stage renal disease requiring thrice-weekly hemodialysis. Last dialysis session was 2 days ago. Patient reports no recent changes in health status. Patient has been compliant with medication regimen. Patient had a light breakfast at 07:00 and reports no issues. Patient's vital signs were checked at home and are within normal limits for his baseline: BP 130/80, HR 78, RR 16, Temp 36.8°C. No fever, no pain reported. Patient is alert and oriented.

Diagnostics

Initial Assessment

Initial Impression: Routine Dialysis Transfer
Justification for F4 Classification:
- Patient is stable with no acute symptoms.
- Transfer is for scheduled treatment, not an emergency.
- No immediate risk to patient's health.

Differential Diagnoses:
1. Stable ESRD patient requiring dialysis (primary)
2. Potential for complications related to ESRD (low probability, no acute symptoms)
3. Intercurrent illness (low probability, no symptoms reported)

Required Actions:
- Dispatch of non-emergency transport vehicle.
- Confirmation of dialysis appointment at Vestmannaeyjar Hospital.
- Transport to dialysis unit within the 1-4 hour timeframe.

Final Diagnosis

Final Diagnosis: Routine Dialysis Transfer
Key Findings:
- Patient arrived at the dialysis unit in stable condition.
- Dialysis was performed without complications.
- No changes in patient's health status during or after transport.

Outcome validated F4 priority assignment. The patient was appropriately classified as a routine transfer case. No medical interventions were required during transport.

Learning Points:
1. F4 classification appropriate for stable patients requiring routine dialysis.
2. No emergent conditions arose during transport, confirming the initial assessment.
3. Accurate patient history and symptom assessment are essential for appropriate triage.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Good morning, this is Guðrún Jónsdóttir, calling for my father. He needs transport for his dialysis appointment.

Dispatcher Okay, can you confirm your father's name and kennitala?

Caller His name is Jón Einarsson, kennitala is ******-****.

Dispatcher And what is the address, please?

Caller It's Heiðarvegur 2, in Vestmannaeyjar.

Dispatcher Is this for a routine dialysis appointment?

Caller Yes, that's right. He is scheduled for dialysis at the hospital today.

Dispatcher Is he feeling okay? Any issues or pain?

Caller He's feeling fine, no problems. He's ready for transport when you are.

Dispatcher Okay, we will arrange for a non-emergency transport. It will arrive within the next few hours. Is that acceptable?

Caller Yes, that's perfect, thank you.

Dispatcher You're welcome. Stay safe.