Protocol 2-572 - Hypoglycemia

Polk, Hickory, Cedar, & St Clair EMS Protocols

EMD:

• No specific protocol.

EMR:

• Identify possible causes.
• Consider Oxygen if SpO2 less than 88%.
• Consider applying Cardiac Monitor limb leads.

EMT:

• Ensure completion of applicable EMR items above.
• Perform Blood Sugar Check. Refer to Equipment 8-324 - Glucometer for blood sugar critical levels.
• Blood sugar less than 60 mg/dl, conscious, AND able to swallow: Glucose 15 g PO.
• No transport: Have patient eat after treatment.

AEMT:

• Ensure completion of applicable EMT items above.
• Consider IV NS/LR.

• Adult:	Pediatric:
  Blood sugar less than 60 mg/dl AND symptomatic: Dextrose 25 g IV. If unable to obtain IV: Consider Glucagon 1 mg IM/SQ/IN.	Blood sugar less than 30 mg/dl AND symptomatic: Dextrose 0.5-1 g/kg IV. Repeat as needed. Click "calculate" to get dose. If unable to obtain IV: Greater than 20 kg or 5 yr old: Consider Glucagon 1 mg IM/SQ. Less than 20 kg or 5 yr old: Consider Glucagon 0.5 mg IM/SQ.

RN

Medic:

• Ensure completion of all applicable BLS items above.
• Consider IO NS/LR. Refer to AEMT section above for Dextrose administration via IO.

• Adult:	Pediatric:
  Blood sugar less than 60 mg/dl AND symptomatic: Consider Thiamine 100 mg IM/IO. If given IV, infuse in NS/LR over 30 minutes.	NA.

• Contact MEDICAL CONTROL prior to PRC if any of the following:
• IV or IO access has been performed.
• Oral hypoglycemic in patient medication list.
• Long-acting insulin in patient medication list.
• Treated with Glucagon.
• Unknown cause of hypoglycemia.

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Polk, Hickory, Cedar, & St Clair County EMS Protocols by Theron Becker is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.