Your Patient Is a 39-Year-Old Male with a History of Alcoholism

Multiple Choice

Your patient is a 39-year-old male with a history of alcoholism. He is unresponsive, with cool, clammy skin and a weak, rapid pulse of 108. BP = 128/92, RR = 12 and regular. Your partner manages the airway and assists ventilations, but you are unable to start an IV after three attempts. Which of the following is most appropriate at this point?

A) Reattempt the IV while en route.
B) Dextrose, 25 g, and thiamine, 100 mg, both IM
C) Glucagon, 1.0 mg, and thiamine, 100 mg, both IM
D) Glucagon 1.0 mg IM