• Prehosp Emerg Care · Jan 2023

    Mass Casualty Incident Involving Rapid Acting Insulin.

    • Mark Y Liao, Tyler Fulks, Jason Garner, Michael Supples, and Nancy King Glober.
    • School of Medicine, Department of Emergency Medicine, Indiana University, Indianapolis, IN, United States.
    • Prehosp Emerg Care. 2023 Jan 1; 27 (3): 375378375-378.

    AbstractWe 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.

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