Emergency Scenario 900_f4

Location Information

Full Location:

Heimagata 5, 900 Vestmannaeyjar, second floor of the Health Center. Two-story concrete building built in 1995. Main entrance is accessible via a ramp. There is one elevator and a central staircase. Street parking is available. Building is equipped with a fire alarm system. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 63.4416° N, 20.2730° 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, oncology patient, stable condition, requires transfer from Vestmannaeyjar Health Center to Landspítali in Reykjavík for scheduled chemotherapy. Patient has a history of breast cancer, currently undergoing treatment. Primary symptoms: None at present, patient is asymptomatic and stable. Secondary symptoms: None. Patient is alert, oriented, and comfortable. Medical history: Breast cancer diagnosed 2 years ago, mastectomy performed 1 year ago, currently on chemotherapy regimen. Medications: Letrozole 2.5mg daily, Palbociclib 125mg daily, Ondansetron 8mg PRN. Allergies: None known. Last meal was a light lunch at 12:00. Patient is mobile and requires no assistance for transfers within the health center.

History of Events

Timeline:
1300 hours: Patient completed routine oncology appointment at Vestmannaeyjar Health Center.
1315 hours: Physician determined patient is stable for transfer to Landspítali.
1330 hours: Transfer request initiated.
1345 hours: Current time, patient is awaiting transport.

Prior Events: Patient has been receiving regular chemotherapy treatments at Landspítali in Reykjavík. No recent complications or changes in condition. Last treatment was 3 weeks ago. Patient lives alone but has a support network in Vestmannaeyjar.

Diagnostics

Initial Assessment

Initial Impression: Stable Oncology Patient for Scheduled Transfer
Justification for F4 Classification:
- Patient is asymptomatic and stable
- Transfer is for a scheduled chemotherapy appointment
- No acute medical issues requiring immediate intervention
- Patient is mobile and able to manage activities of daily living

Differential Diagnoses:
1. Stable Oncology Patient (primary diagnosis)
2. Potential for Treatment-Related Side Effects (low probability, patient reports no issues)
3. Potential for Unrelated Acute Illness (low probability, no reported symptoms)

Required Actions:
- Dispatch of non-emergency transport service within the next 1-4 hours
- Ensure patient comfort and safety during transport
- Transfer patient to Landspítali as scheduled

Final Diagnosis

Final Diagnosis: Stable Oncology Patient for Scheduled Transfer
Key Findings:
- Patient's condition remained stable throughout the transfer process
- No adverse events during transport
- Patient arrived at Landspítali in good condition

Outcome validated F4 priority assignment. Routine transfer was appropriate for the patient's condition.

Learning Points:
1. F4 classification was appropriate for a stable patient requiring scheduled transfer
2. Initial assessment accurately reflected patient's clinical status
3. No changes to treatment plan were required

Emergency Call Transcript

Dispatcher Emergency services, this is the dispatch center, what is your request?

Caller Hello, this is Guðrún Jónsdóttir from Vestmannaeyjar Health Center. We need a routine transfer for a patient to Landspítali in Reykjavík.

Dispatcher Okay, can you provide the patient's details?

Caller The patient is a 65-year-old female, kennitala ******-****. She's an oncology patient, stable, and needs to go to Landspítali for her scheduled chemotherapy.

Dispatcher Understood. What is her current condition?

Caller She's stable, asymptomatic, and mobile. She had her appointment here and is ready for transfer. No acute issues.

Dispatcher Does she have any medical history or medications we should be aware of?

Caller Yes, she has a history of breast cancer and is on Letrozole and Palbociclib. No known allergies. She had lunch at 12:00.

Dispatcher Okay, we will arrange for a non-emergency transfer within the next 1-4 hours. Is there anything else?

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

Dispatcher You're welcome. A transport team will be in contact soon.