The Republic of LATVIA Cabinet of Ministers of 2 February 1999, the provisions in no. 35 (in Riga. Nr. 8, 15) the order in which you have the right to emergency medical assistance Issued in accordance with article 16 of the law on the treatment of i. General questions 1. These rules determine the order in which the rights are provided for anyone who suffered an accident or ill (hereinafter referred to as the victim (ill)), get emergency medical help.
 
2. Emergency medical assistance to victims (deceased) life and health, in critical condition in the single emergency medical help system provide: 2.1. emergency medical institutions and outpatient institutions (family doctors)-pirmsslimnīc stage;
2.2. the hospital-hospital phase.
II. Emergency medical help for step 3 of the pirmsslimnīc emergency medical assistance in the pirmsslimnīc phase of sickness are entitled to contract with the ambulances, which comply with the regulations laid down in the medical quality and accessibility assurance requirements, regardless of its type or form of business.
 
4. Emergency medical assistance to victims (ill) pirmsslimnīc stage provides emergency medical authorities team (the team) on site, as well as transporting the victim (victims) to the hospital.
 
5. Medical emergencies to emergency medical institution is registered and evaluated. The responsible authority, the supervising officer, analysing the information received, determine the urgency in which the victims (the deceased) provided emergency medical help. Emergency medical help for a specific priority are: 5.1 as the primary emergency medical assistance: If the immediate me-help needed in dicīnisk in the first minutes after the injury (case), including the vital function stabilization measures;
5.2. as a secondary emergency medical assistance: If the emergency medical assistance may be postponed for a period not longer than three hours.
 
6. The primary emergency medical treatment is provided in the following cases: 6.1. accidents, emergency, disaster, severe mechanical, thermal, chemical and combined injury, electric shock, respiratory tract foreign bodies, drowning, choking and other cases where the endangered the life of the victim;
6.2. poisoning;
6.3. the sudden illness or injuries on a street, public place, Enterprise (company) or an institution;
6.4. the sudden illness or injury of a child up to three years of age;
6.5. the sudden illness and chronic disease exacerbation, threatening the patient's life: 6.5.1. cardiovascular disease, characterised by pain, choking fits or long-winded, cold sweat, heart rhythm disturbances, loss of consciousness;
6.5.2. peripheral vascular disease, characterised by a sudden pain in the hands or feet, hands or feet cold, pallor;
6.5.3. the Central and peripheral nervous system disorders, with a sudden disturbance of consciousness, seizures, fainting, head and back pain, sensory and movement disorders;
6.5.4. gastrointestinal tract disease, characterised by sudden sharp abdominal pain, vomiting, cold sweats, diarrhea;
6.5.5. urinary tract disease, characterised by a sudden pain in the lumbar and sacral region or acute disorders of urination;
6.5.6. acute mental disorders, which are typical of the aggressive conduct or attempted suicide;
6.5.7. life-threatening bleeding of any origin;
6.5.8. life-threatening allergic reaction of any origin;
6.5.9. asthma attack;
6.6. If appropriate diagnosis or health condition the severity of patients ' urgent needs carriage, as well as the transport of the concerned mothers medical institution.
 
7. Primary medical emergencies in the documents are indicated with an "emergency" (emergency call), and emergency medical assistance is provided to the authorities 24 hours after receipt of the summons immediately leaving the scene.
 
8. Secondary emergency medical treatment is provided in the following cases: 8.1. chronic cardiovascular disease, as well as the exacerbation of patients after heart surgery;
8.2. acute respiratory disease and chronic respiratory disease exacerbation, colds disease, with only moderate to high temperatures;
8.3. chronic Central and peripheral nervous system disease exacerbation;
8.4. the chronic stomach and intestinal tract, kidney and urinary tract diseases exacerbation;
8.5. musculoskeletal system diseases aggravated;
8.6. without mental illness aggravated aggression phenomena;
8.7. the household injuries except that provision referred to in 6.1;
8.8. allergic skin reactions in the form of light;
8.9. the nursing health deterioration that have malignant tumors or asinssaslimšan;
8.10. If you need a special sanitary transport patients scheduled for transport or transporting the patient requires medical attention.
 
9. This provision 8.1., 8.2., 8.3., 8.4., 8.5., 8.6, 8.7, 8.8, and 8.9. secondary referred to emergency medical assistance is provided to primary health care treatment of individuals — family doctor (internist, paediatricians) within three hours, but this rule 8.10. in the case referred to in subparagraph brigades during the day.
 
10. The secondary emergency medical assistance team provides the following cases: 10.1 if emergency medical authorities responsible, the supervising officer considers that the refusal of assistance to the victim (the patient) can cause life-threatening complications;
10.2. outside the primary health care facilities, if the working time is already given in the primary emergency medical help.
11. the teams respective administrative territory located at the immediate receipt of the call to the primary emergency medical help for 75% of the cases of: 11.1. cities and districts of the Republic cities not later than within 15 minutes of the call;
11.2. other areas — no later than 25 minutes of receiving the call.
 
12. Emergency medical assistance teams, the number of required emergency medical authorities the driver intends, in the light of: 12.1. population density in towns and districts of the Republic cities;
12.2. population density and the size of the service area of the district town with its countryside territory;
12.3. the size of the service area other areas;
12.4. other factors affecting emergency medical availability at a particular time.
13. In emergency medical assistance regulations also provide treatment in accordance with the procedure laid down for persons employed in the primary health care system, medical practice and also other prepared and equipped according to the treatment, which, if you need the victim (victims) transportation, called brigade. Outpatient treatment institutions in emergency medical assistance to victims (ill) provides primary health care physicians.
III. Emergency medical assistance hospital phase phase 14 hospital emergency medical assistance to victims (ill) provides the relevant hospital admissions department or emergency medical assistance Department or dedicated premises and, if necessary, take the victim (victims) in the hospital.
15. Victims (deceased) hospitals can receive: 15.1 the primary emergency medical assistance: 24 hours;
15.2. the secondary emergency medical assistance: 15.2.1 primary view — 24 hours a day;
15.2.2. emergency medical assistance, outside outpatient institutions.
16. Small hospitals in emergency medical assistance is provided by certified physicians that are trained in emergency medical assistance, or emergency medical assistance in the certified physician assistants (paramedics) or sisters.
17. The city (district) hospitals that surgical and therapeutic profile departments, emergency medical assistance 24 hours a day to provide emergency health assistance in a certified doctor.
18. Multi purpose hospitals emergency medical assistance 24 hours a day to provide emergency health assistance and supervising physician certified in therapeutic and surgical profile doctors.
19. in Specialized medical institutions (centers) emergency medical assistance 24 hours a day to provide emergency health assistance in the Certified practitioner or physician's Assistant (paramedic) and keep-the doctor according to the hospital's (Center) profile.
20. These rules 16, 17 and 18 of those institutions of treatment admissions department or relevant premises to provide for the possibility of providing emergency medical assistance to the victims of the great (victims) at a time.

21. Outpatient treatment in institutions and hospitals, taking into account the possibility of medical disaster in the territory of the municipality, to create additional brigades for stepping pirmsslimnīc emergency medical assistance in emergency medical situations.
IV. Authorities 22. Ministry of welfare disaster Medical Center methodically manages, monitors and controls the emergency medical care to disaster medical system.
 
23. the municipalities are responsible for: 23.1. emergency medical assistance available to victims (sick) in the relevant administrative territory;
23.2. local emergency medical staff training and further training of emergency medical care;
23.3. emergency medical institutions in readiness to do extra work in an emergency medical situation, as well as the restoration of material resources used in providing emergency medical assistance in emergency situations.
 
24. These provisions in certain order emergency medical care to the victims (the patient) medical institution provides appropriate treatment services.
 
25. the emergency medical treatment and other institutions the primary emergency medical assistance emergency medical provider for diagnosis of these rules laid down 6. in the cases referred to in point free of State guaranteed medical assistance within the Ministry of welfare, in accordance with the established standards of treatment services.
 
26. The secondary emergency medical assistance under the emergency medical providers for a specific diagnosis that rule 8. in the cases referred to in point is provided and paid for in accordance with the legislation.
 
27. Expenses related to emergency medical agencies, outpatient and hospital work, providing emergency medical assistance in emergencies, and the material resources used, as well as restore, within their competence, shall be borne by the competent institution of the State and local budgets for the Cabinet.
V. closing question 28. This provision 5, 8, 9, 11, 16, 17, 18 and 19 point is introduced gradually until January 1, 2004, excluding medical institutions of the current emergency medical assistance and the availability of the character pointer.
 
Prime Minister v. krištopans Welfare Minister v. Makarova in the