Oral glucose

[spenac]

4cmk6 That looks like a possible solution. Until available in protocols just give oral glucose rectally if your a basic.

[Chief1C]

I can't read the small print. Who manufactures it?

Generex Biotechnology. Google it, I don't wanna advertise their site. Maybe it will pop up in JEMS.

............

Given the device for supplying the glucose, in order to get said material into the rectum, I would need some other device. So... Until such is provided for that purpose, I'll do what I normally do. I write my usual deeply descriptive PCR, and use very vague details that sort of smooth the edges per se. Such as, "Oral Glucose". I don't write that it's a gel or a paste, or..... a liquid.

The protocols don't list what product names to use, just what material and method to deliver it. Loopholes. :wink:

[tator55]

Unless you want them to aspirate it, i don't think that is a good idea.

[spenac]

Unless you want them to aspirate it, i don't think that is a good idea.

Explain please. Are you talking the spray that was posted or oral glucose given rectally?

[Chief1C]

They'll aspirate their own saliva before this spray would be a problem. You can always suction any freely flowing or laying fluids from their mouth. It gives about the same "metered dose" as a single spray of Nitrostat. What I do is pop on some gloves, pull open their lip, dry it with a swatch of gauze, and them rub a cotton swab on it covered with this glucose spray. Then I'll take a longer swab, and rub it on their gums and cheeks if I can. There is no free fluid. My point is only this, on a BLS level, in many states if you are *unable to glucose by mouth b/c of patient condition, you're limited on other methods of medication.. Beside monitor the vitals and airway, What do you do till ALS arrives or you meet them? Nothing?

I won't sit and watch.. There are things that can be done and the patient will not be caused to aspirate.

If you think about it, in an ideal world and EMS system, emergencies like this could be readily treated. If there were national standards of care and education, glucose gel may not even be necessary. Unfortunately, I doubt anything in my life, will we see advanced levels of care available on every ambulance.

[EMTGirl4Bruce25]

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I am new to the site, but when I took the EMT course I was taught to only administer oral glucose if the patient is responsive and can shallow. If they are not able to shallow then we have to call medical control and get permission to administer a glucagon injection.

That is what my protocols are here.