Abstract
Abstract Background Norway’s nature combined with the government´s wish to decentralize, makes it difficult for the health care to offer equal health service to the population. This also affects the prehospital department, and there are big variations in the distance between the different municipalities to the nearest ER. There is no governmental guidance on which medications to have in an ambulance without a doctor. Consequently, I wanted to investigate this field and identify differences within Norway's 18 health trusts. I also wanted to discuss the possibilities to establish a national guideline. Methods This thesis was initially a systematic literature review, with intentions of collecting information on which medications were used in the ambulance service. Because of lack of evidence, I wanted to investigate the field myself. I collected quantitative data through an ambulance staff forum. Results This thesis shows that there are great differences in which medications the ambulance use. The distance from the municipality to the hospital can not predicate how many medications the health trusts is equipped with. The difference in medications used in the ambulance, indicate differences in prehospital procedures. Conclusion Because of the large variety in prehospital medications, this thesis concludes that the ambulance would benefit from a common guideline, both in medications and general guidelines.