Hyperglycaemic Emergencies Survey results

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Hyperglycaemic Emergencies Survey results

The EEAST Research Hyperglycaemic Emergencies survey was developed to understand staff knowledge and experiences of hyperglycaemic emergency care.

An amazing 350 responses, representing all clinical grades, were received and analysed, using both quantitative and qualitative approaches. The findings are going to be presented at the Diabetes UK Professionals Conference 2020 and published in Diabetic Medicine. The research team has also submitted a research funding proposal to continue this work further. Recent related clinical audit work also undertaken by the project lead, Research Paramedic Larissa Prothero, has been published in Diabetic Medicine (https://onlinelibrary.wiley.com/doi/10.1111/dme.19_13883).

 Typically survey respondents were paramedics (66%) and had last received training on the management of hyperglycaemic emergencies (DKA and HHS) in the previous two and five years (34%).

The two most common barriers for the prompt recognition and management of DKA were considered to be:

  • Lack of ambulance capillary blood ketone meters (89%):
  • ¬†Lack of pre-hospital hyperglycaemia care education (79%):

Summary: In the absence of capillary blood ketone meters, emergency ambulance clinicians rely on non-specific signs and symptoms for DKA recognition and care, providing opportunities for error. It is apparent there is scope for improved hyperglycaemia education and clinical management for optimal ambulance-led DKA patient care.

For further information, please email Larissa via research@eastamb.nhs.uk

Published 24th December, 2019

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