Endocrine Diabetic Emergencies

Paramedic Standing Orders

Apply cardiac monitor and, if feasible, 12-Lead ECG. Manage dysrhythmias per protocol. If obvious narcotic overdose:
  • Naloxone 0.4-2.0 mg IV Push or IM, SC or Nasal via atomizer. Additional Naloxone (0.4-2.0 mg) may be administered as necessary. 
  • Thiamine 100 mg IV or IM [30]