Читать книгу Emergency Medical Services - Группа авторов - Страница 452

EMS protocols should clearly provide appropriate assessment and treatment guidelines. Symptomatic hyperglycemia mandates administration of IV fluid and transport to a hospital. When hypoglycemia is encountered, treatment protocols should include administration of dextrose in some form (D₅₀W, D₂₅W, or D₁₀W) if IV access can be obtained, or the administration of glucagon when IV access cannot be obtained. Policies concerning treat‐and‐release protocols or transport refusal in patients successfully treated in the field should be very clear and well understood by all personnel. A robust quality management program is necessary to monitor compliance with clinical standards, evaluate appropriateness of clinical decision making, and identify opportunities for improvement.