This protocol is for patients with diabetes who present with confusion, unusual behavior or

unconsciousness. An EMS provider transport service must be contacted for response to provide

additional treatment and transfer to an appropriate facility.

A. Call for EMS transport, if not already activated.

B. Maintain airway:

1. Administer oxygen 15 LPM via non-rebreathing mask.

2. If patient cannot tolerate mask, administer oxygen 6 LPM via nasal cannula.

3. Be prepared to assist ventilations as needed, with oxygen via mouth to mask.

C. Monitor vital signs.

D. If patient has a mildly altered level of consciousness but is able to drink liquids without

aspirating, give orange juice or a solution that contains sugar.

E. Transfer patient to the transporting EMS provider.