Upprättare: Agneta Larsson
Rutin
Diarienr: Ej tillämpligt
Dokument ID: 09-34459
Fastställandedatum: 2016-09-01
Revisionsnr: 13
Giltigt t.o.m: 2017-09-01
1(331)
Fastställare: Simon Nilsson
Behandlingsriktlinjer, VO Ambulans
1.
ALLMÄNT ....................................................................................................... 7 1.1.
Medicinska behandlingsnivåer 2-4 .................................................................................... 8
1.2.
Identitetskontroll och fastsättning av ID-band .................................................................. 8
1.3.
Journalhantering .............................................................................................................. 10
1.4.
Triagering enl RETTS ......................................................................................................... 10
1.5.
Bedömning enligt NEWS .................................................................................................. 11
1.6.
Medicinskt ansvar ............................................................................................................ 12
1.7.
Nödåtgärd ........................................................................................................................ 12
1.8.
Avbrytande av uppdrag .................................................................................................... 13
1.9.
Byte av uppdrag/ambulansbesättning ............................................................................. 15
1.10.
Dödsfall utanför sjukhus .............................................................................................. 15
1.11.
GCS/RLS 85/AVPU ........................................................................................................ 18
1.12.
Iakttagelser/symtom vid intoxikationer ....................................................................... 19
1.13.
Hygien .......................................................................................................................... 24
1.14.
Patientstyrningar.......................................................................................................... 24
1.15.
Hänvisning annat transportsätt ................................................................................... 29
1.16.
Information/rapportering ............................................................................................ 32
1.17.
Information om hjärtpump .......................................................................................... 33
GRUNDLÄGGANDE RIKTLINJER – VUXEN ............................................... 34
2. 2.1.
Prehospital undersökning och behandling....................................................................... 35
2.2.
Smärtbehandling allmänt ................................................................................................. 39
3.
ANDNINGSPÅVERKAN ............................................................................... 41 3.1.
Allergi/Anafylaxi ............................................................................................................... 42
3.2.
Astma ............................................................................................................................... 45
3.3.
KOL ................................................................................................................................... 46
3.4.
Epiglottit ........................................................................................................................... 48
3.5.
Främmande kropp............................................................................................................ 49
3.6.
Inhalation av skadliga ämnen........................................................................................... 51
4.
CIRKULATIONSPÅVERKAN ........................................................................ 53 4.1.
Central bröstsmärta (CBS) ................................................................................................ 54
4.2.
Hjärtstopp ........................................................................................................................ 55
4.3.
Hjärtstopp gravida............................................................................................................ 59
4.4.
Hjärtarytmi ....................................................................................................................... 60 Utskriftsdatum: 2016-08-30