Upprättare: Agneta Larsson
Rutin
Diarienr: Ej tillämpligt
Dokument ID: 09-34459
Fastställandedatum: 2016-10-01
Revisionsnr: 14
Giltigt t.o.m: 2017-10-01
1(335)
Fastställare: Peter Sund
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.................................................................................................... 16
1.11.
GCS/RLS 85/AVPU ............................................................................................................. 18
1.12.
Iakttagelser/symtom vid intoxikationer ............................................................................ 20
1.13.
Hygien................................................................................................................................ 24
1.14.
Patientstyrningar ............................................................................................................... 24
1.15.
Hänvisning annat transportsätt......................................................................................... 29
1.16.
Information/rapportering ................................................................................................. 33
1.17.
Information om hjärtpump ............................................................................................... 34
GRUNDLÄGGANDE RIKTLINJER – VUXEN ................................................... 35
2. 2.1.
Prehospital undersökning och behandling ............................................................................ 36
2.2.
Smärtbehandling allmänt ...................................................................................................... 40
3.
ANDNINGSPÅVERKAN ................................................................................... 42 3.1.
Allergi/Anafylaxi .................................................................................................................... 43
3.2.
Astma .................................................................................................................................... 46
3.3.
KOL ........................................................................................................................................ 47
3.4.
Epiglottit ................................................................................................................................ 49
3.5.
Främmande kropp ................................................................................................................. 50
3.6.
Inhalation av skadliga ämnen ................................................................................................ 52
4.
CIRKULATIONSPÅVERKAN ............................................................................ 54 4.1.
Central bröstsmärta (CBS) ..................................................................................................... 55
4.1.
Hjärtstopp ............................................................................................................................. 56
4.2.
Hjärtstopp gravida ................................................................................................................. 60
4.3.
Hjärtarytmi ............................................................................................................................ 61 Utskriftsdatum: 2016-09-28