Management of diabetes emergency. Minor changes have occurred...
The guidelines have changed to encourage the use of a blood glucometer to check the patients blood sugar levels prior to any treatment - this is only if you are trained in the use of these devices. It is not expected that a first aider will carry a blood glucometer...
If you don't have a blood gucometer then follow the patients management plan or the accepted general management of a diabetic emergency:
Conscious - 4-5 x 4gm glucose tablets or sugar sweetened drink
Unconscious - manage as per unconscious patient and give no food or drink

The Australian and New Zealand Resuscitation Committee on Resuscitation (ANZCOR) make the following recommendations:
• When available, and trained to do so, use a blood glucometer to check the victim’s blood glucose level.
• When available, glucose tablets are preferred over other sugars for the first aid management of suspected hypoglycaemia in conscious victims.
• When available, and trained to do so, family members and carers use a GlucaGen® HypoKit® glucagon injection to manage suspected hypoglycaemia in an unconscious or seizing victim.

If a person with diabetes has a diabetes management plan then that plan should be followed. If a person with diabetes reports low blood glucose or exhibits symptoms or signs of hypoglycaemia:

·         Stop any exercise, rest and reassure;

·         If the victim is able to follow simple commands and swallow safely, we recommend that first aid providers administer 15-20 grams glucose tablets (4 - 5 x 4 gram glucose tablets) for treatment of symptomatic hypoglycemia 

·         If glucose tablets are not available, we suggest administering:

·           Confectionary including:

o    jelly beans (5-20 beans depending on the brand)

o    Skittles® (20-25 candies)

o    Mentos® (5-10 mints), 

·           Sugary drinks or sugar-sweetened beverages (approx. 200 mL), but DO NOT administer ‘diet’ or ‘low-cal’ or ‘zero’ or ‘sugar free’ beverages;

·           Fruit juices (approx. 200 mL);

·           Honey or sugar (3 teaspoons);

·           Glucose gels (15 g of glucose gel); and

·         Monitor for improvement – resolution of symptoms would be expected within 15 minutes.

If symptoms or signs of hypoglycemia persist after 10-15 minutes, and the victim is still able to follow simple commands and swallow safely, administer a further 4 x 4g glucose tablets or alternatives as listed above. Once recovered, give a snack with longer acting carbohydrate, for example: 1 slice of bread OR 1 glass of milk OR 1 piece of fruit OR 2-3 pieces of dried fruit   OR 1 snack size tub of yoghurt (not diet or ‘sugar free’ yogurt). If it is a usual meal time, then eat that meal.

 

If the victim deteriorates, does not improve with treatment, is seizing or is unconscious, call for an ambulance.

 

·         If the victim is unresponsive and not breathing normally, commence resuscitation 

·         If the victim is unconscious but breathing, lie the victim on their side and ensure the airway is clear


Chontel Conrad 21 May 2018 1:42 PM

I’m trying to contact your organisation but it is saying that your phone number is disconnected.
I’m wanting to enroll in one of your first aid courses in Cardiff please?
Can you call me on - 0402 007 133 please?

Kind regards,

Chontel

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