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Updated: Aug 15, 2025

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Mass Casualty Incident Involving Rapid Acting Insulin
Mark Y Liao1, Tyler Fulks2, Jason Garner3
1School of Medicine, Department of Emergency Medicine, Indiana University, Indianapolis, IN, United States.
Abstract:
We 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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