2015 Trumbull Memorial Hospital Demo

Hypoglycemia / Unresponsiveness Hypoglycemia / Unresponsiveness

Universal Patient Assessment

Adult IV/IO

Orange juice or other sugary drinks will raise the BGL faster than less sugary drinks. Do not use diet drinks. Cake frosting also works. Consider patient food allergies.

EMRs may administer naloxone 2mg via MAD from prefilled syringes.

Cardiac Monitor

Check BGL

Glucose <60 mg/dL or <80 with symptoms

Glucose >400 mg/dL with symptoms

Glucose 60-250 mg/dL

Naloxone 2mg via MAD

Food, drink, or oral glucose is preferred if patient is conscious and can swallow

Assess hydration status Normal Saline Bolus no more than 1000mL

or

Naloxone 2-4mg via IV/IO/IM

10% Dextrose IV/IO infusion if patient cannot swallow Titrate to mental status improvement Glucagon 1mg IM if no IV access

May repeat to max 8mg as necessary.

Consider other causes: Head injury, overdose, stroke, hypoxia

If CVA is suspected, go to CVA/TIA Protocol

No

Return to baseline?

Yes

Make sure to protect the patient’s airway. If trauma cannot be ruled out, treat as the cause.

Reassess and monitor

35

EMR

EMT

AEMT

Paramedic

Extended