Rutin
Diarienr: Ej tillämpligt
Dokument ID: 09-34459
Fastställandedatum: 2016-11-01
Revisionsnr: 15
Giltigt t.o.m: 2017-11-01
Upprättare: Agneta Larsson
1(401)
Fastställare: Peter Sund
Behandlingsriktlinjer, VO Ambulans INNEHÅLLSFÖRTECKNING 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.
Bedömning enligt NEWS .......................................................................................... 13
1.6.
Medicinskt ansvar ...................................................................................................... 14
1.7.
Nödåtgärd .................................................................................................................. 15
1.8.
Avbrytande av uppdrag ............................................................................................. 16
1.9.
Byte av uppdrag/ambulansbesättning ........................................................................ 18
1.10.
Dödsfall utanför sjukhus ........................................................................................ 19
1.11.
GCS/RLS 85/AVPU .............................................................................................. 23
1.12.
Iakttagelser/symtom vid intoxikationer ................................................................. 25
1.13.
Hygien .................................................................................................................... 30
1.14.
Patientstyrningar .................................................................................................... 31
1.15.
Hänvisning annat transportsätt ............................................................................... 39
1.16.
Information/rapportering........................................................................................ 42
1.17.
Information om hjärtpump ..................................................................................... 44
GRUNDLÄGGANDE RIKTLINJER - vuxen ....................................................... 46 2.1. Prehospital undersökning och behandling ................................................................. 47 2.2.
3.
4.
Smärtbehandling allmänt ........................................................................................... 51
ANDNINGSPÅVERKAN .................................................................................... 54 3.1. Allergi/Anafylaxi ....................................................................................................... 55 3.2.
Astma ......................................................................................................................... 58
3.3.
KOL ........................................................................................................................... 59
3.4.
Epiglottit .................................................................................................................... 61
3.5.
Främmande kropp ...................................................................................................... 63
3.6.
Inhalation av skadliga ämnen .................................................................................... 65
CIRKULATIONSPÅVERKAN ............................................................................ 68 4.1. Central bröstsmärta - CBS ......................................................................................... 69 4.2.
Hjärtstopp .................................................................................................................. 70
Utskriftsdatum: 2016-10-31