Outcome of diabetic patients treated in the prehospital arena after a hypoglycaemic episode, and an exploration of treat and release protocols: a review of the literature

OBJECTIVES: This review examines current treat and release protocols adopted by the ambulance service, and factors that may predispose patients to hypoglycaemia. METHODS: Online database searches and hand searches of journals led to 241 articles being found, of which eight were used for this article. RESULTS: Out of hospital treatment of hypoglycaemia is safe for most patients, but further studies are needed if positive improvements are to be made. DISCUSSION: There is potential for further research in this area and clarification is needed in the treat and release debate. A definitive set of protocols would be beneficial to the ambulance service.