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I love being a basic!!
I would get the taxi with a stretcher and lights going, call ALS and provide O2and Oral Glucose, treat for shock and leave the diagnosis for someone with a higher pay grade and training.
Administer diesel.
why would you give this patient oral glucose?
I love being a basic!!
I would get the taxi with a stretcher and lights going, call ALS and provide O2and treat for shock and leave the diagnosis for someone with a higher pay grade and training.
Administer diesel.
I wouldnt because she was not responsive and unable to swallow. :sad:
Protocols in MD allow oral glucose in unresponsive patients. There's really no contraindication of it. At a basic level, if they're unresponsive/altered mental status, they're very likely to get a slab of goo in their cheek at some point during our care.
To quote protocol: "Unconscious for unknown reason"
I probably would have given it to her too. :unsure:
Protocols in MD allow oral glucose in unresponsive patients. There's really no contraindication of it. At a basic level, if they're unresponsive/altered mental status, they're very likely to get a slab of goo in their cheek at some point during our care.
To quote protocol: "Unconscious for unknown reason"
I probably would have given it to her too. :unsure:
Not being a smartass here, I just got my cert so I don't know otherwise. I understand they could aspirate on oral glucose, but whats the worst that could happen if given by IV? or other than aspirating orally?
our protocols say the contraindications are "clinically insignificant" or something of that sort.
Not being a smartass here, I just got my cert so I don't know otherwise. I understand they could aspirate on oral glucose, but whats the worst that could happen if given by IV? or other than aspirating orally?
our protocols say the contraindications are "clinically insignificant" or something of that sort.
A fifteen year old with no history of diabetes .... are you really going to dish out glucose?.
I am not having a go at you personally mate but gah, non diabetics do not get hypoglycaemic, I mean seriously hypoglycaemic they might get a bit wonky after not eating for a day but thats not the same.
And be sure to administer D10 IV into a free flowing line that runs coz you know if you slip in a drip and extravasculate dextrose you end up with a black arm that doesn't work for very long after that.
That may lead to a change in orange jumpsuits to one that does not say 'DOCTOR' or 'PARAMEDIC' on the back but hey you MAS guys wear blue ones anyway right?
Like I said, I'm a new EMT. I vividly remember correcting someone in class giving glucose to an unresponsive patient, and having everyone jump down my throat about being able to do that, which is why I'm following through with this inquiry, because its the first time I've ever heard the other side of the argument.
For this particular scenario in the thread, we had someone there to give us patient history, so we could rule out diabetes. There were many signs presenting themselves that screamed more than diabetes, but at a BLS level, I would have requested ALS intercept, O2, def would have considered glucose, and load and go...
BUT
I understand the reasoning behind not giving her glucose- when my protocols dictate that an unresponsive person gets glucose, and i DONT give it to them, am I due to get reprimanded for not following protocols? Someone mentioned that they're more like guidelines, but is that the feeling for every state's?
In her condition, without a SAMPLE history, would it really have been that poor of a thought to give her glucose? (at a bls level)
I understand the reasoning behind not giving her glucose- when my protocols dictate that an unresponsive person gets glucose, and i DONT give it to them, am I due to get reprimanded for not following protocols?)
Someone mentioned that they're more like guidelines, but is that the feeling for every state's?
In her condition, without a SAMPLE history, would it really have been that poor of a thought to give her glucose? (at a bls level)
I am not having a go at you personally mate but gah, non diabetics do not get hypoglycaemic, I mean seriously hypoglycaemic they might get a bit wonky after not eating for a day but thats not the same.
D
Not saying this is what was going on... but I've heard of severely low BGLs in Addisonian crisis.