Emergency Procedures Protocol for Endocrinology Practices

1. Emergency Response Team Structure

Primary Response Team

• Attending endocrinologist
• Clinical nurse coordinator
• Medical assistant
• Front desk staff

2. Common Endocrine Emergencies

2.1 Diabetic Emergencies

• Severe hypoglycemia
  • Glucose < 50 mg/dL
  • Altered mental status
  • Emergency glucagon administration protocol
• Diabetic ketoacidosis (DKA)
  • Initial stabilization
  • Transfer protocol

2.2 Adrenal Crisis

• Immediate interventions
  • IV hydrocortisone administration
  • Fluid resuscitation protocol
• Transfer criteria

2.3 Thyroid Storm

• Recognition protocol
• Initial management steps

3. Emergency Equipment Requirements

3.1 Crash Cart Contents

• Emergency medications
• IV supplies
• Airway management equipment
• Defibrillator

3.2 Location and Maintenance

• Monthly inventory checks
• Expiration date monitoring
• Equipment testing schedule

4. Documentation Requirements

4.1 Emergency Event Recording

• Patient information
• Intervention timeline
• Medications administered
• Transfer details

5. Staff Training Requirements

5.1 Annual Certifications

• BLS certification
• Emergency response training
• Mock emergency drills

6. Emergency Contact Information

6.1 Internal Contacts

• On-call endocrinologist
• Practice manager
• Medical director

6.2 External Resources

• Local emergency departments
• Ambulance services
• Affiliated hospitals