Emergency Scenario 900_f4

Location Information

Full Location:

Heimaey, Vestmannaeyjar Hospital, Landspítali Vestmannaeyjar, Strembugata 1, 900 Vestmannaeyjar. Single-story hospital building, constructed in 1970, with multiple entrances. Main entrance with automatic doors. Internal access corridors. Parking available in front of the hospital. Current conditions: 10°C, overcast, good visibility. GPS coordinates: 63.4418° N, 20.2730° W. Nearest landmark: Vestmannaeyjar Golf Club.

Municipality: Vestmannaeyjar

Postal Code: 900

Emergency Details

Type: Post-Operative Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

72-year-old male, post-operative day 2 following a total hip replacement. Patient is stable, afebrile, with no signs of infection. Requires transfer to Landspítali in Reykjavík for ongoing rehabilitation. Patient is ambulatory with assistance. Pain controlled with oral analgesics. No complications reported. Transfer is for rehabilitation and follow-up. Patient has no other acute medical issues.

History of Events

Timeline:
Day 1: Patient underwent total hip replacement surgery, uneventful procedure.
Day 2: Patient has been stable, ambulating with assistance, and pain well-managed. No signs of infection or complications.
Day 2 (current): Transfer requested for rehabilitation and follow-up in Reykjavík. Patient is ready for transport.

Prior Events: Patient has a history of osteoarthritis in the right hip, requiring surgical intervention. Patient has a history of controlled hypertension and type 2 diabetes, managed with oral medications. No known allergies. Last oral intake was breakfast at 07:00. Patient has been compliant with all post-operative care instructions.

Diagnostics

Initial Assessment

Initial Impression: Post-Operative Transfer, Stable Condition
Justification for F4 Classification:
- Patient is stable, afebrile, with no acute medical issues
- Transfer is for routine rehabilitation and follow-up
- No time-sensitive medical needs
- Patient is ambulatory with assistance, pain well-controlled

Differential Diagnoses:
1. Post-Operative Status, Routine Transfer (most likely)
2. Potential post-operative complications (unlikely, no signs or symptoms)
3. Medication side effects (unlikely, patient is tolerating medications well)

Required Actions:
- Arrange for a non-emergency transport to Landspítali in Reykjavík
- Ensure patient comfort and safety during transport
- Transfer all relevant medical documentation

Final Diagnosis

Final Diagnosis: Post-Operative Status, Routine Transfer
Key Findings:
- Patient is stable, afebrile, with no acute medical issues
- Physical examination confirms well-healed surgical site
- Pain is controlled with oral analgesics
- No complications or adverse events identified

Outcome validated F4 priority assignment. Transfer was completed without incident. Patient continued rehabilitation in Reykjavík.

Learning Points:
1. F4 classification appropriate due to the stable nature of the patient's condition
2. Initial assessment accurately identified the routine nature of the transfer
3. No medical interventions were required during the transfer, and no changes in condition occurred

Emergency Call Transcript

Dispatcher Emergency services, what is the nature of your call?

Caller This is Guðrún calling from Vestmannaeyjar Hospital. We need to arrange a transfer for a post-operative patient to Landspítali in Reykjavík.

Dispatcher Okay, can you provide the patient's details?

Caller Yes, it's Jón Einarsson, born on the 12th of February 1978. His kennitala is ******-****.

Dispatcher And what is the reason for the transfer?

Caller He is post-operative day two from a total hip replacement. He is stable and needs to go to Reykjavík for rehabilitation.

Dispatcher Is he experiencing any pain or complications?

Caller No, his pain is well-controlled with oral medication. There are no complications. He is stable and ambulatory with assistance.

Dispatcher Okay, we will arrange a routine transfer for him. This will be within the next 1-4 hours. Is there anything else?

Caller No, that is all. Thank you.

Dispatcher You're welcome. We will be in touch.