Upprättare: Agneta Larsson
Rutin
Diarienr: Ej tillämpligt
Dokument ID: 09-34459
Fastställandedatum: 2016-08-01
Revisionsnr: 12
Giltigt t.o.m: 2017-08-01
1(331)
Fastställare: Simon Nilsson
Behandlingsriktlinjer, VO Ambulans 1.
2.
ALLMÄNT ....................................................................................................... 8 1.1. Medicinska behandlingsnivåer 2-4 ......................................................... 9 1.2.
Identitetskontroll och fastsättning av ID-band....................................... 10
1.3.
Journalhantering................................................................................... 11
1.4.
Triagering enl RETTS........................................................................... 12
1.5.
Medicinskt ansvar................................................................................. 12
1.6.
Nödåtgärd ............................................................................................ 13
1.7.
Avbrytande av uppdrag ........................................................................ 13
1.8.
Byte av uppdrag/ambulansbesättning .................................................. 15
1.9.
Dödsfall utanför sjukhus ....................................................................... 15
1.10.
GCS/RLS 85 ........................................................................................ 18
1.11.
Iakttagelser/symtom vid intoxikationer.................................................. 19
1.12.
Hygien .................................................................................................. 24
1.13.
Patientstyrning till PV, Ögon/ÖNH-patienter......................................... 24
1.14.
Hänvisning annat transportsätt ............................................................. 28
1.15.
Information/rapportering ....................................................................... 31
1.16.
Information om hjärtpump .................................................................... 32
GRUNDLÄGGANDE RIKTLINJER – vuxen .................................................. 34 2.1. Prehospital undersökning och behandling ............................................ 35 2.2.
3.
4.
Smärtbehandling allmänt ...................................................................... 39
ANDNINGSPÅVERKAN ............................................................................... 41 3.1. Allergi/Anafylaxi .................................................................................... 42 3.2.
Astma ................................................................................................... 45
3.3.
KOL ...................................................................................................... 46
3.4.
Epiglottit ............................................................................................... 48
3.5.
Främmande kropp ................................................................................ 50
3.6.
Inhalation av skadliga ämnen ............................................................... 52
CIRKULATIONSPÅVERKAN ........................................................................ 53 4.1. Central bröstsmärta (CBS) ................................................................... 54 4.2.
Hjärtstopp ............................................................................................. 55
4.3.
Hjärtstopp gravida ................................................................................ 59
4.4.
Hjärtarytmi ............................................................................................ 61
4.5.
Hjärtsvikt .............................................................................................. 62 Utskriftsdatum: 2016-07-24