Emergency Scenario 900_f4

Location Information

Full Location:

Heimagata 1, 900 Vestmannaeyjar, ground floor apartment. Two-story wooden residential building constructed in 1965. Main entrance at street level, no steps. No elevator. Street parking available. Building has a basic fire alarm system. Current conditions: 8°C, overcast, light wind. GPS coordinates: 63.4409° N, 20.2713° W. Nearest landmark: Landakirkja church.

Municipality: Vestmannaeyjar

Postal Code: 900

Emergency Details

Type: Oncology Patient Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

78-year-old female, known oncology patient, requires transfer from home to Health Center for scheduled chemotherapy. Patient is stable, ambulatory with assistance, and reports no acute symptoms. Primary need is transport; no immediate medical intervention required. Patient has a history of lung cancer, currently undergoing treatment. She is alert, oriented, and cooperative. No active complaints.

History of Events

Timeline:
0800 hours: Patient woke up, took morning medications.
0830 hours: Patient had a light breakfast. 
0900 hours: Patient is prepared for transfer. 
0915 hours: Patient's daughter contacted the transport service for scheduled transfer. 

Prior Events: Patient was diagnosed with lung cancer 1 year ago and has been undergoing chemotherapy. Last chemotherapy session was 3 weeks ago, no significant side effects reported. No recent hospitalizations or emergency visits. Patient is under regular care of oncology specialist. Patient lives at home with daughter, who assists with daily activities.

Diagnostics

Initial Assessment

Initial Impression: Routine Oncology Patient Transfer
Justification for F4 Classification:
- Patient is stable and asymptomatic, transfer is for scheduled treatment.
- No acute medical issues or concerns. 
- Response time is routine, within 1-4 hours.

Differential Diagnoses:
1. Stable Oncology Patient (primary and only consideration)
2. Decompensation from Chemotherapy (low probability, no reported symptoms)
3. Intercurrent Illness (very low probability, no reported symptoms)

Required Actions:
- Scheduled transfer via non-emergency transport.
- Ensure patient comfort during transport. 
- Confirm patient's medications are taken and any pre-treatment instructions are followed.
- No ALS or immediate medical intervention required.

Final Diagnosis

Final Diagnosis: Stable Oncology Patient for Scheduled Chemotherapy
Key Findings:
- Patient's vital signs were within normal limits.
- Patient reported no new or worsening symptoms.
- Patient was able to ambulate with minimal assistance.
- No signs of acute illness or chemotherapy-related complications.

Outcome validated F4 priority assignment. Transfer was completed smoothly and without incident. Patient received scheduled treatment without complications.

Learning Points:
1. F4 classification was appropriate due to the stable nature of the patient and the scheduled nature of the transfer.
2. Accurate assessment of patient stability allowed for appropriate resource allocation.
3. Routine transfer protocols were followed successfully.

Emergency Call Transcript

Dispatcher Emergency services, this is the non-emergency line, how can I help you?

Caller Good morning, this is Guðrún Jónsdóttir. My mother, Jóna Eiríksdóttir, needs transport to the health center for her chemotherapy appointment.

Dispatcher Okay, I see the request. Can you confirm your address?

Caller Yes, it's Heimagata 1, in Vestmannaeyjar. It's a ground floor apartment.

Dispatcher And your mother's name is Jóna Eiríksdóttir, correct? And her kennitala?

Caller Yes, that's correct. Her kennitala is ******-****.

Dispatcher Okay, thank you. Is she stable and ready for transport?

Caller Yes, she is. She's had her breakfast and taken her morning medications. She's ready whenever you are.

Dispatcher Perfect. We will arrange a routine transport for her. This will be within the next 1 to 4 hours. Is there anything else?

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

Dispatcher You're welcome, have a good day.