I'm not second guessing what was done, but one thing that must be considered when treating someone is that many signs or symptoms of one disorder or disease are also signs and symptoms of another.idk, thats what my friend did (there was no gatorade around, just water) worked just fine, because the pt was experiencing signs of hypoglycemia
Signs of hypoglycemia do not by themselves indicate that some is suffering from hypoglycemia though. Maybe the person's sugar was low and that's what they needed or maybe they felt better because some gave them a medication. Personally I think it's a rather poor practice to give glucose to anyone potentially showing signs of hypoglycemia. No drug is benign and while it's likely that there were no ill effects in this particular case, how about calling for EMS next time and getting a BGL and a more proper assessment?idk, thats what my friend did (there was no gatorade around, just water) worked just fine, because the pt was experiencing signs of hypoglycemia
I realize that, hence "call EMS" .OP can't get a blood glucose, he's a first aider or first responder. Some glucose (not a big bolus of D50 or whatever, just some OJ like the red cross says?) is not going to hurt unless the pt vomits it back up while lying down and it embarrasses the airway.
OP, what were the pt's complaints which led your friend to give the runner something to drink or eat that suggested hypoglycemia?
Again, some sugar unless it affects airway (obtunded pt) is not going to hurt the pt, maybe/unless they are experiencing dumping syndrome (ask if they get it, if they have had a gastric bypass, etc).
what are the odds of coming across a patient who is a non diabetic with hypoglycemia? How would this occur?
I'm not a diabetic... but I know the feeling of running low. Basically, I just don't feel right and I have to eat something that is sweet. I've never had my blood sugar tested during those moments, but it's pretty clear that I'm starting to get low. It used to happen more frequently when I was far more active and I'd burn off a lot of my body's glucose and "bonk." The symptoms I have when I run low are very similar to when I bonk. When I get to that point, I am still in full control of my faculties, and I seek out a sugary drink and then seek out something with protein.Given the right circumstances, anyone's blood sugar can become low. However, when this happens to most people, once they begin feeling off, "funny", or what have you, they think to themselves, "Wow! I don't feel right! I really need to eat something," and get something to fix the problem.
As for seeing a patient that is a "non diabetic" - it could be that they have yet to be diagnosed. It could just be that someone didn't eat soon enough after already running on empty and then doing strenuous activity. It could be something else completely.
The endocrine system is very complex, and there could be countless factors playing into a random, one-time episode of low blood sugar.
After a race they likely are hypoglycemic, dehydrated, and somewhere on the heat exhaustion scale...I believe she was acting strange. She noticed an improvement to the pt's condition, so thats probably why she didnt radio for the rig to come over.
Agreed, many athletes at the end of any sort of race are going to be a mess. We have NCAA cross country race every year and it's always a mess at the finish line; AMS, vomiting, Asthma attacks, dehydration, heat exhaustion, the works. Most of this clears up relatively quickly, but if you're working an event like this you need to be prepared to manage a patient that doesn't come around. I'd argue that a single first responder is likely not capable of this. At our race we have 5-6 EMTs, an athletic trainer, and 3-4 aides that help us move people into treatment areas. We have a medic unit posted nearby as well.After a race they likely are hypoglycemic, dehydrated, and somewhere on the heat exhaustion scale...
Water, electrolyte replacement, some carbs and maybe some sugar. Move them to a cool place.
Do they need EMS? I've worked some iron distance triathalons and my notion of "big sick" versus "little sick" got quite the shock. Simple AMS that doesn't improve with rest, rehydration, and food is probably going to concern me...otherwise they'll be fine.