For hyperglycemia in endocrine emergencies, which measure is emphasized?

• A. Administer insulin
• B. Protect airway, give O2, assist ventilations if indicated
• C. Give oral glucose
• D. Transport only

Answer: (B)

In hyperglycemic endocrine emergencies, the most vital step is to secure the airway and support breathing. Patients can become drowsy or unresponsive due to dehydration, acidosis, and electrolyte imbalances, which raises the risk of airway compromise and respiratory failure. Providing high-flow oxygen and assisting ventilation as needed ensures adequate oxygen delivery and ventilation before other treatments, making this the priority.

Giving oral glucose isn’t appropriate because the patient is already hyperglycemic and may have an impaired ability to swallow or protect the airway; it would worsen the condition and increase the risk of aspiration. Administering insulin in the field is not typically the immediate priority for EMTs and requires controlled medical oversight and IV access, along with fluids and monitoring in a proper setting. Transport without first stabilizing the airway and breathing would miss the most critical life-support need in these emergencies.