Rutin
Diarienr: Ej tillämpligt
Dokument ID: 09-34459
Fastställandedatum: 2017-05-01
Revisionsnr: 18
Giltigt t.o.m: 2018-05-01
Upprättare: Agneta Larsson
1(454)
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 ...................................................................................................... 16
1.7.
Nödåtgärd ................................................................................................................... 17
1.8.
Avbrytande av uppdrag .............................................................................................. 18
1.9.
Byte av uppdrag/ambulansbesättning ........................................................................ 21
1.10.
Dödsfall utanför sjukhus ........................................................................................ 22
1.11.
GCS/RLS 85/AVPU ............................................................................................... 25
1.12.
Iakttagelser/symtom vid intoxikationer.................................................................. 27
1.13.
Hygien .................................................................................................................... 32
1.14.
Patientstyrningar..................................................................................................... 33
1.15.
Hänvisning annat transportsätt ............................................................................... 49
1.16.
Information/rapportering ........................................................................................ 54
1.17.
Information om hjärtpump ..................................................................................... 58
GRUNDLÄGGANDE RIKTLINJER – vuxen ...................................................... 60 2.1. Prehospital undersökning och behandling ................................................................. 61 2.2.
3.
4.
Smärtbehandling allmänt ........................................................................................... 65
ANDNINGSPÅVERKAN ................................................................................... 68 3.1. Allergi/Anafylaxi ....................................................................................................... 69 3.2.
Astma ......................................................................................................................... 72
3.3.
KOL ........................................................................................................................... 74
3.4.
Epiglottit .................................................................................................................... 76
3.5.
Främmande kropp ...................................................................................................... 78
3.6.
Inhalation av skadliga ämnen .................................................................................... 80
CIRKULATIONSPÅVERKAN ............................................................................ 82 4.1. Central bröstsmärta - CBS ......................................................................................... 83 4.2.
Hjärtstopp................................................................................................................... 85
4.3.
Hjärtstopp gravida ...................................................................................................... 88
4.4.
Hjärtarytmi ................................................................................................................. 90 Utskriftsdatum: 2017-04-20