x-behandlingsriktlinjer-2017-01-31

Rutin

Diarienr: Ej tillämpligt

Dokument ID: 09-34459

Fastställandedatum: 2017-02-01

Revisionsnr: 16

Giltigt t.o.m: 2018-02-01

Upprättare: Agneta Larsson

1(440)

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 ........................................................................................................ 12

1.4.

Triagering enl RETTS ............................................................................................... 13

1.5.

Bedömning enligt NEWS .......................................................................................... 14

1.6.

Medicinskt ansvar ...................................................................................................... 15

1.7.

Nödåtgärd .................................................................................................................. 16

1.8.

Avbrytande av uppdrag ............................................................................................. 17

1.9.

Byte av uppdrag/ambulansbesättning ........................................................................ 20

1.10.

Dödsfall utanför sjukhus ........................................................................................ 21

1.11.

GCS/RLS 85/AVPU .............................................................................................. 24

1.12.

Iakttagelser/symtom vid intoxikationer ................................................................. 26

1.13.

Hygien .................................................................................................................... 31

1.14.

Patientstyrningar .................................................................................................... 32

1.15.

Hänvisning annat transportsätt ............................................................................... 41

1.16.

Information/rapportering........................................................................................ 45

1.17.

Information om hjärtpump ..................................................................................... 48

GRUNDLÄGGANDE RIKTLINJER – vuxen ...................................................... 49 2.1. Prehospital undersökning och behandling ................................................................. 50 2.2.

3.

4.

Smärtbehandling allmänt ........................................................................................... 55

ANDNINGSPÅVERKAN .................................................................................... 58 3.1. Allergi/Anafylaxi ....................................................................................................... 59 3.2.

Astma ......................................................................................................................... 62

3.3.

KOL ........................................................................................................................... 64

3.4.

Epiglottit .................................................................................................................... 66

3.5.

Främmande kropp ...................................................................................................... 68

3.6.

Inhalation av skadliga ämnen .................................................................................... 70

CIRKULATIONSPÅVERKAN ............................................................................ 72 4.1. Central bröstsmärta - CBS ......................................................................................... 73 4.2.

Hjärtstopp .................................................................................................................. 75

4.3.

Hjärtstopp gravida ..................................................................................................... 78

Utskriftsdatum: 2017-01-30