Metabolic

Sweaty, confused, or known diabetic

CCMS-MED-SOP-001 §10

Check glucose early. Children after playground, adults who skipped breakfast for the fasted service, anyone on insulin.

Call 911 if: unconscious, seizing, not improving after glucose, or any doubt.

1. 1

   Scene safe. If they can follow commands, check a fingerstick.

2. 2

   If low and they can swallow: 15–20 g of glucose tablets (or equivalent). Recheck in 15 minutes. Follow with a protein snack if they are staying.

3. 3

   If unconscious or no gag: nothing oral. 911. Recovery position. Glucagon only if it is in the kit and you are trained to give it.

4. 4

   Do not let them drive home after a significant hypo.

• Hyperglycemia with vomiting, Kussmaul breathing, or confusion is DKA/HHS until otherwise — 911. Do not give insulin unless it is their usual home dose and a clinician owns it.
• A tantrum in a known diabetic child is hypoglycemia until the meter says otherwise.

This field guide does not replace 911, a medical director, or licensed clinical judgment. It does not authorize anyone to practice beyond license and current training.