Emergency Scenario 900_f4_15

Location Information

Heimagata 7, 900 Vestmannaeyjar. Single-story residential building, constructed in 1985. Main entrance at street level, no stairs or elevator. No security features. Street parking available. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 63.4416° N, 20.2731° W. Nearest landmark: Vestmannaeyjar Hospital.

Emergency Details

78-year-old female, post-operative rehabilitation transfer. Patient is stable and requires transfer from Vestmannaeyjar Hospital to her home residence. Primary condition: Post-operative recovery following a total knee replacement 7 days ago. Secondary condition: Requires assistance with ambulation and medication management. Patient is alert, oriented, and cooperative. No acute medical issues reported. Patient is currently in a wheelchair.

History of Events

Timeline:
7 days ago: Patient underwent a total knee replacement surgery at Vestmannaeyjar Hospital. Post-operative course has been uncomplicated. Patient has completed initial physiotherapy sessions and is deemed stable for transfer to her home. Patient is currently on oral pain medication. Patient is able to bear partial weight on the operated leg with assistance. Patient has been educated on home exercise program. No recent changes in condition. Patient has been cleared by the surgeon and physiotherapist for discharge.

Prior Events: Patient has a history of osteoarthritis, hypertension, and hyperlipidemia. Patient takes medication for these conditions. No known allergies. Last meal was breakfast at 08:00, consisting of toast and tea. No recent infections or complications.

Diagnostics

Initial Assessment

Initial Impression: Post-operative rehabilitation transfer, stable condition
Justification for F4 Classification:
- Patient is stable with no acute medical issues
- Transfer is for rehabilitation purposes, not emergency medical care
- Condition does not require immediate intervention

Differential Diagnoses:
1. Post-operative recovery (primary diagnosis)
2. Potential for minor post-operative pain (managed with oral analgesics)
3. Low risk of acute complications

Required Actions:
- Dispatch of non-emergency transport
- Assistance with transfer from hospital to home
- Ensure patient has necessary medication and discharge instructions
- Confirmation of home environment suitability for post-operative recovery

Final Diagnosis

Final Diagnosis: Stable post-operative recovery following total knee replacement.
Key Findings:
- Patient is stable, with no signs of infection or complications
- Patient's vital signs are within normal limits
- Patient is able to mobilize with assistance
- Patient has received necessary discharge instructions and medication

Outcome validated F4 priority assignment. Routine transfer was appropriate. Patient was successfully transferred home and is following up with physiotherapy.

Learning Points:
1. F4 classification was appropriate due to the stable nature of the transfer
2. Initial assessment accurately reflected the patient's condition
3. Coordination between hospital and transport services was effective.

Emergency Call Transcript