Emergency Scenario 900_f4

Location Information

Full Location:

Heiðarvegur 10, 900 Vestmannaeyjar. Single-story concrete building, built in 1985, serving as a small medical clinic. Main entrance is at street level with no steps. Secondary entrance at the rear is for staff and deliveries. No security codes required. Parking available in front of the building. Weather: 8°C, overcast, light wind. GPS coordinates: 63.4402° N, 20.2718° W. Nearest landmark: Vestmannaeyjar Hospital.

Municipality: Vestmannaeyjar

Postal Code: 900

Emergency Details

Type: Oncology Patient Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

65-year-old female, known oncology patient, requires transfer from Vestmannaeyjar clinic to Landspítali University Hospital in Reykjavík for scheduled chemotherapy. Patient is stable, with no acute symptoms. Primary concern is transportation logistics for scheduled treatment. Medical history includes Stage III ovarian cancer, diagnosed 1 year ago. Recent blood work is stable. Patient has no allergies. Medications include: Letrozole 2.5mg daily, Paracetamol 500mg PRN, Ondansetron 4mg PRN. Last oral intake was a light lunch at 12:00. Patient is ambulatory and cooperative.

History of Events

Timeline:
1300 hours: Patient arrived at Vestmannaeyjar clinic for pre-transfer assessment.
1315 hours: Patient's vitals were checked; stable.
1330 hours: Transfer request was initiated by clinic staff.
1345 hours: Current time, patient is waiting for transfer. 

Prior Events: Patient has been undergoing chemotherapy at Landspítali for the past year. No recent complications or hospitalizations related to her cancer. Patient is generally stable between chemotherapy cycles. She resides in Vestmannaeyjar and travels to Reykjavík for treatment. Last chemotherapy session was two weeks ago.

Diagnostics

Initial Assessment

Initial Impression: Stable Oncology Patient for Scheduled Transfer
Justification for F4 Classification:
- Patient is stable with no acute medical needs.
- Transfer is for a scheduled chemotherapy appointment.
- No immediate medical intervention is required.
- Response time is within 1-4 hours.

Differential Diagnoses:
1. Stable Oncology Patient (primary diagnosis)
2. Potential for Transfer Complications (low probability, patient is stable)
3. Symptomatic Progression (low probability, patient is stable)

Required Actions:
- Arrange non-emergency transport to Landspítali.
- Ensure all patient records and medications are transferred.
- Monitor patient for any changes in condition during transport.

Final Diagnosis

Final Diagnosis: Stable Oncology Patient for Scheduled Transfer
Key Findings:
- Patient remained stable throughout the transfer.
- All vitals were within normal limits during transit.
- No new symptoms or complications arose.

Outcome validated F4 priority assignment. Patient arrived at Landspítali as scheduled and received her chemotherapy treatment.

Learning Points:
1. F4 classification appropriate given the stable condition and scheduled nature of the transfer.
2. Pre-transfer assessment and clear communication ensured a smooth transport.
3. No changes in patient condition were observed, validating initial stability assessment.

Emergency Call Transcript

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

Caller Hello, this is Hildur Jónsdóttir from the Vestmannaeyjar clinic. We need to arrange a patient transfer to Landspítali in Reykjavík.

Dispatcher Okay, can you please provide the patient's name and date of birth?

Caller Yes, the patient is Guðrún Eiríksdóttir, date of birth is May 12th, 1958. Kennitala is ******-****.

Dispatcher And what is the reason for the transfer?

Caller She is an oncology patient scheduled for chemotherapy at Landspítali. She is stable and has no acute symptoms.

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

Caller She is stable, vitals are normal. She has Stage III ovarian cancer, has been on Letrozole and takes paracetamol and ondansetron as needed. Last meal was at noon. No allergies. She is ambulatory and cooperative.

Dispatcher Alright, this sounds like a routine transfer. We will arrange transport for her within the next 1-4 hours. Is there anything else?

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

Dispatcher You're welcome. We will be in contact when the transport is arranged.