What can your EMT-B's do??

[Scaramedic]

.

What would you do with a diabetic/hypertensive that is on Atenolol, Vasotec and Glipizide who presents with a blood sugar of 44? You give her an amp of D50 and her mental status improves. She is able to eat. What do you do with her at this point?

Stand by and wait for her to get hypoglycemic?

[irme]

To original question.

First Aiders can/do give:

Inhaled Analgesia

GTN

Aspirin

Oral Glucose

Ventolin

02

Nebulised Salbutamol

OPA

BP

AED

Are you for real? I find it hard to believe you can head on down get a first aid certificate and now start giving out restricted drugs!

[Timmy]

Advanced First Aid in Australia is the equivalent of an American EMT

[CBEMT]

.

What would you do with a diabetic/hypertensive that is on Atenolol, Vasotec and Glipizide who presents with a blood sugar of 44? You give her an amp of D50 and her mental status improves. She is able to eat. What do you do with her at this point?

Wow. A one in a million anecdote that proves your point. All due respect Doc but that's hardly a basis for formulating a system-wide policy.

[ERDoc]

Wow. A one in a million anecdote that proves your point. All due respect Doc but that's hardly a basis for formulating a system-wide policy.

My point is harly anecdotal or hardly one in a million. Can you tell me what exactly my point is?

[Dustdevil]

Wow. A one in a million anecdote that proves your point. All due respect Doc but that's hardly a basis for formulating a system-wide policy.

So now you're poo-pooing evidence based medicine? :?

[Scaramedic]

I can.

[Dustdevil]

I can.

Poo poo? :shock:

[Eydawn]

Lady's able to eat? Get her a sammich! Mm... sammich!

Should keep her from tanking again right away, no? Or was this a "you are in the ambulance and gave her D-50" call? Let her blood sugar normalize, give her a sammich and let her sign a refusal if she wants. If she doesn't want, take her to the ED.

Did I miss something?

Wendy

CO EMT-B

[Scaramedic]

I think where the Doc was going is that glipizide can cause further hypoglycemia even after treatment in the field. A glipizide patient with a hypoglycemic reaction must be monitored in the hospital to stabilize their glucose levels. They are one of the patients you shouldn't treat and street as someone said.