Mass Casualty Incident Involving Rapid Acting Insulin. (3rd April 2023)

• Record Type: Journal Article
• Authors: Liao, Mark Y.; Fulks, Tyler; Garner, Jason; Supples, Michael; Glober, Nancy King
• Is Part Of: Prehospital emergency care. Volume 27:Number 3(2023)
• Page Start: 375
• Page End: 378
• Publication Date: 2023-04-03
• Subjects: 362.18
• DOI: 10.1080/10903127.2022.2162649
• Languages: English
• ISSNs: 1090-3127

Abstract

Abstract: 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.