Main rule | Patients in need of observation and treatment with frequent supervision by nurses and physicians, but who are not in need of the hospital's specific expertise and equipment |
Samples and clarifications: | |
Observations | Light concussion (unconsciousness < 5 min., no focal neurological findings, GCS 14-15 and without special risk factors); this according to the Scandinavian guidelines where CT is not available |
Fractures and injuries where it is appropriate to take X-rays on the HSS or where further admission to hospital has to be clarified | |
Intoxication (alcohol and tablets) after treatment at a municipal emergency unit. Deliberate self-harm should be admitted to RS | |
Observation of other causes where hospitalization is not necessary | |
Treatment and medical follow-up | Patients with infections who do not meet the SIRS criteria for sepsis. If so, the patient will be assessed for hospital admission in consultation with the specialist on call |
COPD exacerbations where treatment has been clarified | |
Dehydrated patients who require intravenous fluid therapy | |
Hyperemesis | |
Nutritional deficiencies | |
Blood transfusions | |
Adjustment of ongoing medical treatment | Diabetes, with both tablet and insulin regulation. Patients with ketoacidosis, hyperglycaemia and with the risk of diabetic coma must be sent to RS |
Heart failure | |
Palliative and terminal care | Especially concerning complex conditions and younger patients |
Emergency deliveries | In cases where the general hospital cannot be reached |