Emergency Scenario 900_f4

Location Information

Full Location:

Heiðarvegur 10, 900 Vestmannaeyjar. Single-story concrete building, built in 1975. Main entrance is at ground level, no stairs. Parking is available in front of the building. The building has a basic alarm system. Current conditions: 8°C, cloudy, moderate visibility. GPS coordinates: 63.4417° N, 20.2769° 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 female, requires routine transfer for scheduled dialysis treatment. Patient is stable, conscious, and alert. No acute symptoms reported. Patient is ambulatory with minimal assistance. Medical history includes end-stage renal disease (ESRD), hypertension, and type 2 diabetes. Patient has been on dialysis for 3 years, with scheduled sessions three times a week. Transfer is from her home to the Vestmannaeyjar Hospital dialysis unit.

History of Events

Patient has been stable since her last dialysis session. She reports no new symptoms or changes in her condition. She has followed her prescribed diet and fluid restrictions. She has been waiting at home for the scheduled transport. Last dialysis session was 48 hours ago. She had a normal session with no complications. Last oral intake was a light breakfast at 08:00, consisting of toast and tea. No changes in medications or recent health issues.

Diagnostics

Initial Assessment

Initial Impression: Routine Dialysis Transfer
Justification for F4 Classification:
- Patient is stable and asymptomatic
- Transfer is for a scheduled treatment, not an acute medical condition
- No immediate medical interventions are required

Differential Diagnoses:
- No differential diagnoses to consider in this case, it is a scheduled transport.

Required Actions:
- Dispatch of a non-emergency transport vehicle
- Ensure patient comfort and safety during transport
- Confirm dialysis appointment at Vestmannaeyjar Hospital

Final Diagnosis

Final Diagnosis: Routine Dialysis Transfer
Key Findings:
- Patient arrived at the dialysis unit in stable condition
- Dialysis session was conducted without complications
- No changes in patient's condition during or after the transfer

Outcome validated F4 priority assignment. Routine transport was appropriate and timely. Patient received her scheduled dialysis without incident.

Learning Points:
1. F4 classification appropriate for routine scheduled transfers
2. Initial assessment correctly identified the non-emergency nature of the call
3. No medical interventions were required during the transfer

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Hello, this is Guðrún Jónsdóttir. I am calling to confirm my scheduled transport for dialysis.

Dispatcher Okay, can you confirm your address and social security number?

Caller Yes, my address is Heiðarvegur 10, Vestmannaeyjar and my social security number is ******-****.

Dispatcher Thank you. Are you feeling okay today?

Caller Yes, I am feeling fine. Just waiting for my transport to the hospital.

Dispatcher Okay, your transport is scheduled and will be there within the next few hours. Is there anything else?

Caller No, that's all. Thank you.

Dispatcher You're welcome. Have a good day.