Monash University

Embargoed and Restricted Access

Reason: Under embargo until November 2019. After this date a copy can be supplied under Section 51(2) of the Australian Copyright Act 1968 by submitting a document delivery request through your library

Utilisation of prehospital Emergency Medical Services for diabetic emergencies

posted on 2018-11-05, 04:54 authored by MELANIE LOUISE VILLANI
Severe hypoglycaemia and hyperglycaemic crises are acute, life-threatening complications of diabetes frequently encountered by paramedics. This research investigated utilisation patterns and clinical outcomes for patients suffering diabetic emergencies. Over 41,500 cases were analysed, finding annual utilisation rates of 15.3 and 5.4 per 1000 Victorians for hypoglycaemia and hyperglycaemia respectively, demonstrating substantial use of the prehospital EMS. Temporal trend analysis predicted an increase in diabetic emergency cases and geographical analysis highlighted increased risk was associated with socioeconomic status and ethnicity. The combination of a diabetes epidemic and increasing pressures on the EMS requires careful consideration and planning. This work provides direction for potential service-wide improvements aimed at preventing and managing these presentations.


Principal supervisor

Sophia Zoungas

Year of Award


Department, School or Centre

Public Health and Preventive Medicine


Doctor of Philosophy

Degree Type



Faculty of Medicine Nursing and Health Sciences