Emergency Scenario 900_f4_23

Location Information

Heiðarvegur 1, 900 Vestmannaeyjar, second floor of the dialysis center. The building is a two-story concrete structure built in 1995. Main entrance is accessible via ramp. Dialysis unit located on the second floor, accessible by elevator or stairs. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 63.4406° N, 20.2734° W. Nearest landmark: Vestmannaeyjar Hospital.

Emergency Details

65-year-old male, chronic renal failure patient, requires routine transfer from Vestmannaeyjar dialysis center to Reykjavík for a scheduled nephrology appointment. Patient is stable, alert, and oriented. No acute medical issues. Patient is ambulatory but requires assistance due to dialysis port.

History of Events

Timeline:
10:00 hours: Patient completed scheduled dialysis session at Vestmannaeyjar dialysis center.
10:15 hours: Patient is stable and ready for transport.
10:20 hours: Dialysis nurse contacted emergency services for routine transport.

Prior Events: Patient has been receiving dialysis three times a week for the past 3 years. Patient has a history of hypertension and type 2 diabetes. Last dialysis session was uneventful. No recent illnesses or hospitalizations. Regular nephrology appointments are scheduled in Reykjavík every three months. Patient is compliant with medication regimen. Last medical check-up 2 weeks ago, routine follow-up.

Diagnostics

Initial Assessment

Initial Impression: Stable chronic renal failure patient requiring routine transfer.
Justification for F4 Classification:
- Patient is stable with no acute medical issues.
- Transfer is for a scheduled appointment and not an emergency.
- Patient is not in distress and does not require immediate medical intervention.

Differential Diagnoses:
1. Stable Chronic Renal Failure (Primary diagnosis)
2. No acute medical issues identified.

Required Actions:
- Dispatch of non-emergency transport unit.
- Patient comfort and safety during transport.
- Transfer to the designated nephrology clinic in Reykjavík.

Final Diagnosis

Final Diagnosis: Stable Chronic Renal Failure requiring routine transport.
Key Findings:
- Patient's vital signs were stable throughout the transfer.
- No new symptoms or complications arose during transport.
- Patient arrived at the nephrology clinic in Reykjavík without incident.

Outcome validated F4 priority assignment. Routine transport was appropriate for this patient's condition.

Learning Points:
1. F4 classification appropriate due to the stable and non-urgent nature of the transfer.
2. Pre-transport assessment ensured patient's stability for routine transport.
3. Efficient coordination between dialysis center and transport services resulted in a smooth transfer.

Emergency Call Transcript