Mass Casualty Incident Involving Rapid Acting Insulin

We report on an unusual prehospital incident involving the inadvertent administration of short-acting insulin among a group of high school students. Sixteen students iatrogenically received 10 units of insulin lispro intradermally instead of tuberculin purified protein derivative (PPD), resulting in several students experiencing symptomatic hypoglycemia. A mass casualty incident was declared and the local poison center consulted. An incident command system, with the support of on-scene EMS physicians, was established to track, treat, and transport the involved patients.PMID:36595597 | DOI:10.1080/10903127.2022.2162649

Source: Prehospital Emergency Care - January 3, 2023 Category: Endocrinology Authors: M Liao T Fulks J Garner M Supples N Glober Source Type: research