Emergency Scenario 900_f4

Location Information

Full Location:

Heiðarvegur 1, 900 Vestmannaeyjar, single-story medical clinic. Concrete structure built in 1985. Main entrance facing the parking lot. No elevators. Street parking available. Clinic equipped with basic medical equipment. Current conditions: 8°C, overcast, moderate wind. GPS coordinates: 63.4401° N, 20.2734° W. Nearest landmark: Vestmannaeyjar Hospital.

Municipality: Vestmannaeyjar

Postal Code: 900

Emergency Details

Type: Dialysis Patient Transfer

Priority Level: F4

Response Time Goal: Routine (1-4 hours)

Description:

68-year-old male patient, stable, requiring routine transfer from Vestmannaeyjar clinic to Landspítali for scheduled dialysis. Patient is conscious, alert, and hemodynamically stable. No acute complaints. Patient is wheelchair bound due to previous stroke. Transfer requires ambulance with wheelchair lift and two crew members. Patient has chronic kidney disease and is on regular dialysis schedule. No acute medical issues reported.

History of Events

Timeline:
10:00 hours: Patient completed routine medical check-up at Vestmannaeyjar clinic.
10:15 hours: Patient is ready for scheduled transfer for dialysis.
10:30 hours: Call placed to dispatch for routine transfer.

Prior Events: Patient has been receiving dialysis treatments 3 times a week for the past 2 years. Patient had a stroke 5 years ago resulting in left-sided weakness. Patient is regularly monitored by the renal team. No recent hospitalizations or acute illnesses. Last dialysis session was 2 days ago. Patient has no reported allergies. Patient's last meal was a light breakfast at 08:00.

Diagnostics

Initial Assessment

Initial Impression: Stable Patient for Routine Dialysis Transfer
Justification for F4 Classification:
- Patient is hemodynamically stable and without acute symptoms.
- Transfer is for a scheduled dialysis appointment, not an emergency.
- No immediate life threats or time-critical concerns.

Differential Diagnoses:
1. Stable Chronic Kidney Disease (primary condition)
2. Post-Stroke Sequelae (pre-existing condition)
3. No acute medical concerns based on current assessment.

Required Actions:
- Dispatch of ground ambulance with wheelchair lift.
- Ensure patient comfort and safety during transport.
- Communication with receiving facility at Landspítali to confirm arrival time.

Final Diagnosis

Final Diagnosis: Stable Chronic Kidney Disease, Routine Dialysis Transfer
Key Findings:
- Patient's vital signs remained stable throughout the transfer.
- No new medical issues were identified during the transport.
- Patient arrived at Landspítali without incident.

Outcome validated F4 priority assignment. Routine transfer was completed without complications. No changes to the patient's condition.

Learning Points:
1. F4 classification was appropriate for a stable patient with a scheduled transfer.
2. No acute interventions were required during transport.
3. Clear communication between the dispatch, transferring clinic, and receiving facility ensured a smooth process.

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller Good morning, this is Hjördís calling from the clinic in Vestmannaeyjar. We have a patient ready for a routine transfer to Landspítali for dialysis.

Dispatcher Okay, can you provide the patient's name and kennitala?

Caller Yes, it's Einar Gunnarsson, kennitala ******-****.

Dispatcher And can you describe his current condition?

Caller He's stable, conscious, and alert. He's here for his scheduled dialysis. No acute issues. He's wheelchair bound due to a previous stroke.

Dispatcher Understood. Is he ready for transport now?

Caller Yes, he is. We've completed his check-up and he's waiting. He needs an ambulance with a wheelchair lift.

Dispatcher Okay, I'll arrange for a routine transfer. Expect the ambulance within the next few hours. We will keep you updated.

Caller Thank you, that's perfect. We'll be here.