Emergency Scenario 900_f4_25

Location Information

Heiðarvegur 10, 900 Vestmannaeyjar. Single-story concrete building, constructed in 1985. Main entrance with ramp access. No security features, open access. Parking available in front of the building. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 63.4417° N, 20.2764° W. Nearest landmark: Vestmannaeyjar Hospital.

Emergency Details

62-year-old male, chronic renal failure, requires routine transfer for scheduled hemodialysis. Patient stable, no acute symptoms reported. Transfer is from his residence to Vestmannaeyjar Hospital dialysis unit. Patient is ambulatory with assistance.

History of Events

Timeline:
1000 hours: Patient completes morning routine, feels stable.
1015 hours: Patient contacts dialysis unit to confirm transfer time.
1020 hours: Dialysis unit requests transfer via emergency services.
1030 hours: Call placed to emergency dispatch. 

Prior Events: Patient has end-stage renal disease and has been on hemodialysis for 5 years, 3 times a week. No recent changes in his health status. Last dialysis session was 2 days ago, with no complications. No recent hospitalizations. Medical history includes hypertension and type 2 diabetes. No known allergies. Medications: Insulin, Amlodipine, and Erythropoietin. Last meal was a light breakfast at 0800.

Diagnostics

Initial Assessment

Initial Impression: Routine Dialysis Transfer
Justification for F4 Classification:
- Patient is stable, with no acute symptoms or active complaints.
- Transfer is for a scheduled medical procedure.
- No immediate risk to life or limb.
- Response time is not time-critical.

Differential Diagnoses:
- No acute medical conditions are suspected.
- Patient's condition is consistent with chronic renal failure and scheduled dialysis.

Required Actions:
- Dispatch of transport unit for non-emergency transfer.
- Confirmation of transfer time with dialysis unit.
- Ensure patient's medical records and medications are transferred with patient.

Final Diagnosis

Final Diagnosis: Chronic Renal Failure - Routine Dialysis Transfer
Key Findings:
- Patient's condition remained stable throughout the transfer.
- No changes in vital signs or symptoms were observed.
- Dialysis treatment was initiated as scheduled.

Outcome validated F4 priority assignment. Routine transfer was appropriate and uneventful. Patient tolerated transfer well, and dialysis was completed without complications.

Learning Points:
1. F4 classification was appropriate given the stable and routine nature of the transfer.
2. Pre-existing medical history and scheduled treatment were key factors in determining priority.
3. Communication between patient, dialysis unit, and dispatch was effective in facilitating a smooth transfer.

Emergency Call Transcript