Emergency Scenario 900_f4_20

Location Information

Heimagata 3, 900 Vestmannaeyjar, ground floor apartment 1B. Two-story wooden residential building constructed in 1965. Main entrance is at street level, no steps. No elevator. Street parking available. Building equipped with smoke detectors. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 63.4416° N, 20.2731° W. Nearest landmark: Vestmannaeyjar Hospital.

Emergency Details

75-year-old male, post-operative rehabilitation transfer from Vestmannaeyjar Hospital to his home. Patient is stable, ambulating with walker. Primary need is transport assistance. Patient has a recent total knee replacement surgery 5 days ago. Requires assistance with stairs at his home.

History of Events

Timeline:
Day 1: Patient admitted for total knee replacement surgery.
Day 2-4: Post-operative care, physical therapy initiated.
Day 5: Patient deemed stable for discharge, requires transport home.

Prior Events: Patient underwent total knee replacement surgery 5 days ago. No complications during the surgery or recovery. Patient has a history of osteoarthritis. Patient lives alone in a ground floor apartment, but requires assistance with 3 steps at the entrance. Patient has been using a walker since the surgery. Last medical check-up was yesterday, routine post-op assessment. No known allergies. Medications: Paracetamol 1000mg every 6 hours, Rivaroxaban 10mg daily. Last meal was lunch at 12:00.

Diagnostics

Initial Assessment

Initial Impression: Post-operative Rehabilitation Transfer
Justification for F4 Classification:
- Patient is stable, no acute medical issues
- Transfer is for rehabilitation purposes, not an emergency
- Response time is flexible within the 1-4 hour window

Differential Diagnoses:
1. Post-operative recovery (primary condition)
2. Potential for mobility issues due to surgery (addressed by transport assistance)
3. No other differential diagnoses considered due to stable condition

Required Actions:
- Dispatch of non-emergency transport vehicle
- Coordination with hospital staff for patient handover
- Assistance with stairs at patient's home

Final Diagnosis

Final Diagnosis: Post-operative Rehabilitation Transfer following Total Knee Replacement.
Key Findings:
- Patient's condition was stable, as expected.
- No new complications were observed.
- Transport was completed without incident.

Outcome validated F4 priority assignment. Patient's condition did not require immediate medical intervention. Planned transport and assistance were provided.

Learning Points:
1. F4 classification appropriate due to the non-emergency nature of the transfer.
2. Initial assessment accurately identified the patient's stable condition and transfer requirements.
3. Proper coordination between hospital staff and transport team ensured a smooth transfer process.

Emergency Call Transcript