In this situation where the patient is NOT altered, but hypoglycemic, with sufficient suspicion to suspect that low blood sugar may be causing some of the symptoms, would it be reasonable to treat the patient with IV dextrose? How do we proceed in situations where patients may be hypoglycemic, are not altered (GCS less than 15) but are unable to tolerate oral glucose or carbs? I can see this being the case for traumas. Some of the symptoms exhibited by the patient are concurrent with typical signs of hypoglycemia.
Because the patient was secured to the stretcher supine, treating with oral gel was not an option, and transport was a priority. Due to a complaint of back pain and paralysis, the a c-dollar was applied and scoop was used to extricate. The patient was hypovolemic and hypoglycemic at 3.2, stating he has not been eating or drinking fluids all day. Upon assessment the patient was GCS 15, answering questions appropriately and oriented to person, place, time and event, however the patient was unable to move their limbs, and had loss of sensation in portions of the arms, torso, and legs, as well as a depressed skull fracture. We were dispatched to a patient who suffered a fall, with history of diabetes. Category: Hypoglycemia, Immobilization, Trauma Patient | Date: 2022-september-29 I have a question in regards to the hypoglycemia directive.
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