Prehospital care of pediatric hypoglycemic seizure patients in the State of North Carolina: A retrospective cohort study
Academic Emergency Medicine Sep 05, 2019
Burroughs ZT, et al. - Via retrospective analyzing data from the North Carolina emergency medical services (EMS) registry from 2013 to 2014, researchers sought for factors that are correlated with EMS protocol compliance for glucose testing in children < 18 years of age with a 9-1-1 call for seizure as well as rates of hypoglycemia in the prehospital setting. The registry yielded data of 13,182 calls for the seizure; of these, 6,262 had undergone glucose testing. Seventy-eight of 6,262 (1.25%) had hypoglycemia (glucose < 60 mg/dL). They observed an increase in testing rates with age, emergency medical technician–paramedic presence and with antiepileptic medication use. Nonwhite patients less frequently underwent testing. These findings suggest the infrequent occurrence of hypoglycemia in tested patients; however, for proper treatment of hypoglycemic seizures, testing is a requisite. Until the revision of protocols, they recommend regional EMS administration to focus on education and uniform compliance with state protocols. Prehospital Care of Pediatric Hypoglycemic Seizure Patients in the State of North Carolina
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