Emergency Scenario 900_f4

Location Information

Full Location:

Heiðarvegur 2, 900 Vestmannaeyjar, ground floor apartment. Single-story residential building built in 1965. Main entrance with a small step. No elevator. Street parking available. Building has basic security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 63.4413° N, 20.2662° W. Nearest landmark: Vestmannaeyjar Hospital.

Municipality: Vestmannaeyjar

Postal Code: 900

Emergency Details

Type: Geriatric Care Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

88-year-old female, scheduled transfer from home to the Vestmannaeyjar Health Center for routine assessment and medication review. Patient is stable, alert, and oriented. She has a history of mild dementia, hypertension, and osteoarthritis. Patient is ambulatory with a walker. No acute symptoms or complaints. Patient is packed and ready for transport. Transfer is needed due to caregiver's unavailability for the next 24 hours. Patient's daughter is present and can provide further details.

History of Events

Timeline:
0900 hours: Patient had breakfast and took her regular medications.
0930 hours: Caregiver notified family of inability to assist for the next 24 hours.
1000 hours: Daughter contacted emergency services for a routine transfer.
1015 hours: Current time, patient is stable and ready for transport.

Prior Events: Patient has been stable at home with routine care. Last medical check-up was 1 month ago, routine follow-up. No recent illnesses or injuries. Patient has been living at home with caregiver support. Patient has occasional confusion, but is generally oriented to person, place, and time.

Diagnostics

Initial Assessment

Initial Impression: Routine Geriatric Transfer
Justification for F4 Classification:
- Patient is stable, with no acute symptoms or complaints.
- Transfer is for routine assessment and medication review, not for an acute medical condition.
- No time-critical elements or immediate medical needs.

Differential Diagnoses:
1. Routine Geriatric Assessment (high probability)
2. Medication Adjustment Need (possible, to be reviewed at health center)
3. Caregiver Support Deficiency (primary reason for transfer)

Required Actions:
- Dispatch of non-emergency transport service within 1-4 hours.
- Confirmation of patient's medical history and medication list.
- Safe and comfortable transfer to Vestmannaeyjar Health Center.

Final Diagnosis

Final Diagnosis: Routine Geriatric Assessment
Key Findings:
- Patient was assessed at the Vestmannaeyjar Health Center, confirming her stable condition.
- Medication review was conducted, with minor adjustments made.
- No acute medical issues were identified.
- Patient was discharged back home with adjusted medication and caregiver support after 24 hours.

Outcome validated F4 priority assignment. The transfer was for a non-acute situation and was handled as a routine procedure.

Learning Points:
1. F4 classification was appropriate for a stable, non-emergency transfer.
2. Initial assessment accurately identified the need for routine care and caregiver support.
3. Effective communication between dispatch, patient's family, and health center ensured a smooth transfer.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Hello, I need to arrange a transfer for my mother. It's not an emergency, but her caregiver is unavailable.

Dispatcher Okay, I understand. What is your mother's address?

Caller It's Heiðarvegur 2 in Vestmannaeyjar. She's on the ground floor.

Dispatcher And what is your mother's name and kennitala?

Caller Her name is Guðrún Jónsdóttir, kennitala is ******-****.

Dispatcher Okay, can you tell me why she needs a transfer?

Caller Her regular caregiver can't come today, and she needs to go to the health center for a check-up and medication review. She's stable, just needs a ride.

Dispatcher Is she able to walk or does she need assistance?

Caller She uses a walker, but she can walk on her own. She's ready to go.

Dispatcher Okay, I'll arrange for a non-emergency transport. It should be there within 1 to 4 hours. Stay with her and be ready for the transport team.

Caller Thank you very much. We'll be waiting.