Emergency Scenario 900_f4

Location Information

Full Location:

Heiðarvegur 2, 900 Vestmannaeyjar, Ground floor of the Vestmannaeyjar Rehabilitation Center. Single-story concrete building, built in 1985, with wide hallways and automatic doors. Main entrance is on the south side. No security system at the entrance. Parking available directly in front of the building. Current conditions: 10°C, clear skies, good visibility. GPS coordinates: 63.4416° N, 20.2669° W. Nearest landmark: Vestmannaeyjar Hospital.

Municipality: Vestmannaeyjar

Postal Code: 900

Emergency Details

Type: Rehabilitation Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

75-year-old male, post-operative rehabilitation patient, requires transfer from Vestmannaeyjar Rehabilitation Center to Landspítali National University Hospital in Reykjavik for scheduled follow-up. Patient is stable, ambulatory with a walker, and has no acute medical complaints. He is able to communicate clearly and is oriented to time, place, and person. He has a history of a left hip replacement three weeks ago. He is currently on oral pain medication and is hemodynamically stable.

History of Events

Timeline:
0800 hours: Patient completed morning physical therapy session, tolerated well.
0900 hours: Patient had breakfast with no issues.
1000 hours: Patient was reviewed by the rehabilitation physician and cleared for transfer.
1030 hours: Transfer request initiated.

Prior Events: Patient underwent a left total hip replacement three weeks ago due to osteoarthritis. Post-operative course has been uncomplicated, with good progress in physical therapy. No recent infections, fever, or other acute issues. Patient has been fully mobile with a walker. Last bloodwork was normal three days ago. He has been compliant with all medication and therapy regimens.

Diagnostics

Initial Assessment

Initial Impression: Stable Post-Operative Rehabilitation Patient for Scheduled Transfer
Justification for F4 Classification:
- Patient is clinically stable with no acute symptoms or complaints.
- Transfer is for scheduled follow-up, not for any emergent medical need.
- No immediate medical interventions are required.
- Transfer can be safely completed within a routine timeframe.

Differential Diagnoses:
1. Post-operative recovery (primary concern, stable)
2. Potential for delayed complications (low probability, no current signs)
3. Medication side effects (low probability, no reported issues)

Required Actions:
- Coordination of non-emergency transport with appropriate medical supervision
- Verification of patient's medication list and transfer paperwork
- Ensuring patient's comfort during transport
- Communication of transfer details to receiving facility

Final Diagnosis

Final Diagnosis: Stable Post-Operative Status Following Hip Replacement
Key Findings:
- Patient's physical exam was normal, with no signs of infection or complications.
- Vital signs were stable throughout the transfer process.
- Patient tolerated transport well, with no adverse events.

Outcome validated F4 priority assignment. The patient was transferred successfully to Landspítali for his scheduled follow-up appointment. No changes in medical status during transfer.

Learning Points:
1. F4 classification was appropriate given the patient's stable condition and scheduled transfer.
2. Pre-transfer assessment confirmed the absence of acute medical needs.
3. Smooth transfer process was facilitated by clear communication and coordination.

Emergency Call Transcript

Dispatcher Emergency services, what is your emergency?

Caller This is Hjördís from the Vestmannaeyjar Rehabilitation Center. We need to arrange a routine transfer for a patient.

Dispatcher Okay, can you give me the patient's name and date of birth?

Caller Yes, the patient is Jón Einarsson, born on 030448. His kennitala is ******-****.

Dispatcher And what is the reason for the transfer?

Caller He is a post-operative hip replacement patient, and he needs to go to Landspítali in Reykjavik for a follow-up appointment. He is stable.

Dispatcher Is he having any pain or discomfort?

Caller No, he is comfortable and stable. He's been walking with a walker, and he is on regular oral pain medication. He had his check up and is cleared for transfer.

Dispatcher Okay, I understand. This is a routine transfer, correct?

Caller Yes, that's correct. It's a routine transfer. We just need transport to Landspítali.

Dispatcher Okay, I will arrange a non-emergency transport for you. Please ensure all his paperwork and medications are ready. We will be in touch with an estimated time of arrival. Thank you.

Caller Thank you. We appreciate your help.