x-behandlingsriktlinjer-2017-05-02

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