Reference protocol
🩸 Diabetes · Blood glucose
PROTOCOL FOR HYPOGLYCEMIC DIABETIC PROBLEM
Version May 20, 2022
PROTOCOL — HYPOGLYCEMIA
Is the victim alert ?
YES — Alert
Is the victim a known diabetic ?
YES
🩸 Blood glucose < 4 mmol/L?
YES
🍬 Help the victim consume sugar
juice · fruit · chocolate · glucose gel
juice · fruit · chocolate · glucose gel
Position of comfort
(prevent falls)
(prevent falls)
Reassess
vital signs (ABC)
vital signs (ABC)
📞 Hospital via 911
NO (≥ 4)
Position of comfort
Reassess
vital signs (ABC)
vital signs (ABC)
📞 Hospital via 911
NO
If symptoms present
🍬 Offer sugar orally
if the victim can swallow
if the victim can swallow
Position of comfort
Reassess
vital signs (ABC)
vital signs (ABC)
📞 Hospital via 911
NO — Not alert / Unconscious
Place in recovery position
💉 Assessment — Glucagon administration
Have you completed training
on the use of glucagon?
on the use of glucagon?
YES
Does the victim have glucagon
in their possession?
in their possession?
YES
Able to self-inject
with your help?
with your help?
YES
Help with self-injection
according to their protocol
according to their protocol
NO
Inject according to
administration protocol
administration protocol
NO
No glucagon
available
available
📞 Hospital via 911
Maintain recovery position
Maintain recovery position
NO
DO NOT administer
glucagon
glucagon
📞 Hospital via 911
Maintain recovery position
Maintain recovery position
🌡 Cover the victim
(warm or aluminum blanket)
(warm or aluminum blanket)
Reassess frequently
vital signs (ABC)
vital signs (ABC)
In all cases — Common actions
🌡 Cover the victim
(warm / aluminum blanket)
(warm / aluminum blanket)
📊 Reassess frequently
vital signs (ABC)
vital signs (ABC)
📞 Hospital
via 911
via 911