Rutin
Diarienr: Ej tillämpligt
Dokument ID: 09-34459
Fastställandedatum: 2017-03-01
Revisionsnr: 17
Giltigt t.o.m: 2018-03-01
Upprättare: Agneta Larsson
1(429)
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 .......................................................................................... 12
1.6.
Medicinskt ansvar ...................................................................................................... 14
1.7.
Nödåtgärd................................................................................................................... 15
1.8.
Avbrytande av uppdrag .............................................................................................. 15
1.9.
Byte av uppdrag/ambulansbesättning ........................................................................ 17
1.10.
Dödsfall utanför sjukhus ........................................................................................ 18
1.11.
GCS/RLS 85/AVPU ............................................................................................... 22
1.12.
Iakttagelser/symtom vid intoxikationer.................................................................. 24
1.13.
Hygien .................................................................................................................... 29
1.14.
Patientstyrningar..................................................................................................... 29
1.15.
Hänvisning annat transportsätt ............................................................................... 46
1.16.
Information/rapportering ........................................................................................ 50
1.17.
Information om hjärtpump ..................................................................................... 54
GRUNDLÄGGANDE RIKTLINJER – vuxen ...................................................... 55 2.1. Prehospital undersökning och behandling ................................................................. 56 2.2.
3.
4.
Smärtbehandling allmänt ........................................................................................... 60
ANDNINGSPÅVERKAN ................................................................................... 63 3.1. Allergi/Anafylaxi ....................................................................................................... 64 3.2.
Astma ......................................................................................................................... 67
3.3.
KOL ........................................................................................................................... 69
3.4.
Epiglottit .................................................................................................................... 71
3.5.
Främmande kropp ...................................................................................................... 73
3.6.
Inhalation av skadliga ämnen .................................................................................... 75
CIRKULATIONSPÅVERKAN ............................................................................ 77 4.1. Central bröstsmärta - CBS ......................................................................................... 78 4.2.
Hjärtstopp................................................................................................................... 80
4.3.
Hjärtstopp gravida ...................................................................................................... 83
4.4.
Hjärtarytmi ................................................................................................................. 85 Utskriftsdatum: 2017-03-01