Oral glucose to non diabetic

Caspar

Forum Crew Member
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If a patient is a nondiabetic and is exhibiting signs of hypoglycemia, can you give oral glucose?
 

hometownmedic5

Forum Asst. Chief
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This is most likely going to be a state by state type of answer, as all protocols aren't created equal.

In my state(MA), if you work for s service not carrying glucometers(really guys, its 2017. Get with it), you could as the indications for its use don't require a known Hx of hypoglycemia, only the presentation of hypoglycemia. The protocols specifically mention Tx of 70mg/do and below, but I know there are still services out there unable to asses that. Keep in mind that nobody was a diabetic until they were, so its possible you just happen to be encountering this patient as they experience this wonderful disease for the first time.
 

NomadicMedic

I know a guy who knows a guy.
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If they have low blood sugar. Sure.

If they're NOT a diabetic, chances of them being hypoglycemic are pretty low. Go back in your book and look up the differentials for altered mental status and tell us why it's NOT appropriate to give a non diabetic oral glucose.
 

Gurby

Forum Asst. Chief
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The phrase "exhibiting signs of hypoglycemia" gives me the anger :mad: Are they hypoglycemic or not? What sad pathetic joke of a company doesn't give their EMT-B's glucometers?
 

Chris07

Competent in Incompetence
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Why even have BLS ambulances? Give Uber drivers an AED and bottle of O2, call it "UberMed", I bet your outcomes will be about the same.

Not all ambulances in California even carry AEDs so your UberMed concept is already winning.
 

Jim37F

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The highly invasive skill of BSG is only entrusted to our highly trained paramedics in my county
 

StCEMT

Forum Deputy Chief
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The highly invasive skill of BSG is only entrusted to our highly trained paramedics in my county
Hey man, we can't just be letting basics do these invasive procedures on people. They might bleed uncontrollably. Too much risk.
 

VentMonkey

Family Guy
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Why even have BLS ambulances? Give Uber drivers an AED and bottle of O2, call it "UberMed", I bet your outcomes will be about the same.
Not all ambulances in California even carry AEDs so your UberMed concept is already winning.
Didn't "UberMed" force their own thread to close on here?...
The highly invasive skill of BSG is only entrusted to our highly trained paramedics in my county
I see what you did there, Jimbo;).
 

AtlasFlyer

Forum Captain
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The phrase "exhibiting signs of hypoglycemia" gives me the anger :mad: Are they hypoglycemic or not? What sad pathetic joke of a company doesn't give their EMT-B's glucometers?

Marion Co, Indiana (city of Indy) JUST now has granted EMTs the ability to use glucometers. Yes, really. It's brand-spanking new, and we have to do *both* an online training course and a hand's-on to get signed off to actually use it.
 

Kevinf

Forum Captain
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The phrase "exhibiting signs of hypoglycemia" gives me the anger :mad: Are they hypoglycemic or not? What sad pathetic joke of a company doesn't give their EMT-B's glucometers?

If the posts I've read on this forum are representative, most of California...

Pennsylvania as well.
 

DesertMedic66

Forum Troll
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I as a paramedic must be present to supervise my EMT in obtaining a BGL. You know, incase they try to poke the patients eye... those darn EMTs.
 

Jim37F

Forum Deputy Chief
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Anyways, beyond the ridiculousness of an over the counter test non medically trained lay persons are expected to perform on themselves regularly being to invasive for EMTs in many areas....circling back to the OPs question, what I was taught was that if you had a patient who you believed to be hypoglycemic to give sugar (as long as their alert enough to eat a tube of our oral glucose) as its harder to hurt someone with too much sugar, vs someone can rapidly deteriorate and even die with a too low sugar. At least that was what was taught in EMT class (alongside such gems as every ACS or ALOC pt should be placed on high glow O2)
 

SpecialK

Forum Captain
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If you are not diabetic it is not physiologically possible to become symptomatically hypoglycaemic, unless of course, you've poisoned yourself with a medicine capable of doing this (for example insulin), you are a child under five years of age with significant infection, or you have a giant insulinoma.
 
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