Diabetic Emergency - Emergency Medical Responder Scenario

Preparing for your EMR EMALB licensing exams? Follow our EMR students as they run through a diabetic emergency scenario to pick up some tips and tricks. Please note, these scenarios are run by students within the province of BC. Be sure to follow your regional treatment guidelines and scope of practice.
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[@victorquintana2035]

Please make more!! Very helpful.

[@nicholasrajalingam729]

So useful, please I hope you guys make more !

[@CoastWildernessMedicalTraining]

Thank you! We have some in the pipeline!

[@oliviabevan1986]

This was such a useful video, thank you so much for making this!

[@joegaming623]

personally, i like to get vitals before i get my pt on the stretcher. i just think it took way too long for him to finally check her bgl and get vitals. i’m aware that this is a simulation but it took way too long in my opinion compared to what would happen irl

[@shirleymiller5056]

Please do a senario update on unconscious pt

[@focusmicro]

quick question, "are you diabetic"? Patient responds yes/no. EMT checks BG and gets reading of 2 mmg. EMT provides sugar drink or gel. Job done. :D (SAMPLE).

[@CoastWildernessMedicalTraining]

We call that being a hero.

[@TheDebbiedoodles]

I really like this very thorough

[@steveho9884]

What should I do if my blood sugar drop down 65?

[@kerryannc4876]

This is awesome to learn because I have diabetes

[@magdavandenberg1505]

Two questions: 1. Why did the medic move the patient to the stretcher so fast? Would it not be better to get the initial set of vitals as the patient is found? 2. GCS of 14? His questioning was very limited and presentation/respinses did not indicate confusion.

[@creempuff521]

Moved her on to stretcher in case anything happens, she's already loaded. Patient was initially reported confused, as well as hesitant responses, so initially is confused 4 out of 5

[@kayeaula6580]

6 rights?

[@قناةلنشرالخير-ص3ل]

Leave me alone 🤣

[@EMTprepper]

One thing I would like to add during your ABC's is that you should really be asking the patient to remove her mask and check/ask about food, gum, or other potential choking hazards. Other than that, good assessment video.

[@roboticdreamer]

Perhaps it's something that would have occurred in real life, but since they wanted everyone to be wearing a mask, they decided to ignore that for the scenario

[@EMTprepper]

@@roboticdreamer Yeah, I get that, but this is an instruction video on how EMS providers should approach patients. Realism should be a key factor in these videos, especially since many new EMTs are timid about exposing patients.

[@reubcom4040]

This person may have been at risk of complications due to the treatment not being promptly given, a failure of scenario in my eyes. The better treatment would have been something along the lines of, Hello I'm EMS what's going on/ are you diabetic? YES/NO Test blood glucose levels whilst you get your partner to apply the BP cuff and o2 monitor ECG and administer necessary medication. Everything else can happen in the ambulance as long as the MOI allows. This scenario took too long in my opinion.

[@CoastWildernessMedicalTraining]

Thanks for the comment. The video is not just to demonstrate the treatments, but also to help students prepare for the provincial licensing exam by demonstrating a structured approach to patient care, and ensuring that ABCs are taken care of. At the time the video was made, licensing guidelines here in British Columbia required the examinee to take the first set of vital signs themselves. That, fortunately, has changed, and delegation of vital signs in this situation be not just acceptable, but encouraged as the best way to manage resources in this situation. That being said, however, I hesitate to encourage responders to rush. A full set of vital signs does not take an inordinate amount of time, even without the ECG monitor and NIBP, which EMRs do not have access to in BC. Thanks again for commenting - have a great day!

[@kimblodgett8581]

Do It Then