WHAT'S NEW IN EMERGENCY PRE-HOSPITAL CARE RESEARCH? 2008 CONFERENCE ORGANISED BY 999 EMS RESEARCH FORUM IN COLLABORATION WITH UNIVERSITY OF SHEFFIELD AND THE NATIONAL AMBULANCE RESEARCH STEERING GROUP
JRCALC prize for research most likely to affect practice was awarded jointly to David Fitzpatrick and Patricia ColemanImproving post-hypoglycaemic patient safety in the pre-hospital environment: a systematic review
Scottish Ambulance Service/NMAHP Research Unit, University of Stirling, Stirling, UK
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Background
Over two million people are diagnosed with diabetes in the UK; a figure predicted to rise to three million by the end of the decade. Diabetes is placing increasing pressure on NHS resources. Audit data from the Scottish Ambulance Service indicate hypoglycaemic patients account for approximately 50% of the 6500 diabetes related emergency calls per annum. Hypoglycaemia is one condition typically included in "Treat and Refer" or "See and Treat" guidelines which many UK Ambulance services have introduced in an attempt to deal with increasing pressures on emergency departments. Some ambulance services’ have guidelines that advise the transportation of all post hypoglycaemic type II diabetic patients treated with oral hypoglycaemic agents (OHAs) to hospital, whilst others do not. Such service variation highlights inconsistencies in post hypoglycaemic type II diabetic patient care in
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