2005-04-11

Sitting in the ambulance...

Just sitting here in the driveway to the West Cemetary in Manchester... we got sent to the town line so many times just to get turned around after a couple of minutes that I decided to just stay here!

Personal stories: Well yesterday I took care of a twenty-three year old diabetic male whose blood glucose was 34mg/dL when I got to him... but he was conscious and alert even though he was speaking slowly and slurring his words. I told the EMTs to give him more oral glucose (they had already given him two tubes) since he was controlling his airway just fine. We were already in the ambulance so the decision was made to transport. About ten minutes before we got to triage in the E.D. his blood glucose was up to 87mg/dL even though he stated he still felt low. The triage nurse at the hospital, however, thought I should've given the patient D-50W instead of just oral glucose. She was saying that the patient's blood sugar was going to crash without the D-50... which I thought was really a dumb thing to say since the oral glucose would be continuously absorbed via the GI tract while the D-50 would just get burned off within an hour or so. I checked with a senior paramedic and he agreed with me but said that he had run into the same arugument at that same hospital before... I feel vindicated anyway...