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Civilian Emergency Platform
DEVELOPMENT FIXTURE — An older person missed insulin, heart, seizure, or blood thinner doses — now unwell.
DEVELOPMENT FIXTURE — NOT EXPERT REVIEWED — NOT FOR PUBLIC DISTRIBUTION
DEVELOPMENT FIXTURE — Shaking sweating low sugar, or polyuria confusion high sugar.
DEVELOPMENT FIXTURE — Palpitations missed beta blocker, headache missed BP med.
Scene hazards: Hypoglycemia, Arrhythmia, Stroke from BP swing
DEVELOPMENT FIXTURE — If unconscious or seizing — 112 not callback.
DEVELOPMENT FIXTURE — If alert — locate medication sheet with prescriber numbers.
DEVELOPMENT FIXTURE — Fast sugar treatment if low and awake — juice rule per prior plan.
DEVELOPMENT FIXTURE — Log missed time for clinician.
DEVELOPMENT FIXTURE — Call prescriber on-call or 112 if symptoms.
DEVELOPMENT FIXTURE — Pharmacist can sometimes advise timing of next dose.
DEVELOPMENT FIXTURE — ER if symptomatic hypoglycemia not responding oral.
DEVELOPMENT FIXTURE — Anticoagulant bridge decisions physician only.
DEVELOPMENT FIXTURE — Do NOT double warfarin or DOAC without doctor — bleed risk.
DEVELOPMENT FIXTURE — Do NOT skip calling because "only one dose."
MYTH: DEVELOPMENT FIXTURE — Always take a double dose to catch up after missing one
REALITY: DEVELOPMENT FIXTURE — Doubling many geriatric drugs causes toxicity — clinician or pharmacist guides next dose timing.
DANGER: DEVELOPMENT FIXTURE — Double insulin or anticoagulant hemorrhage.
DEVELOPMENT FIXTURE — Missed insulin risks DKA or rebound highs — individual plan matters.
DEVELOPMENT FIXTURE — Missed anticoagulant may not need catch-up — bleeding risk if double.