Enrоute Phаse Scenаriо: The AEMT is dispаtched tо a dentist’s office for a 32-year-old male who is reported to be weak, dizzy, and slightly agitated. The call was received at 1015. The estimated response time is 9 minutes. The AEMT is partnered with an EMT, and a BLS fire department engine crew is also en route. The patient is located inside the dental office. It is a cool spring morning with heavy rainfall in the area, and the temperature is 42°F (6°C). A small hospital is located 12 minutes from the scene, while the nearest comprehensive medical facility is 30 minutes away. OnScene Phase Scenario: The patient (70 kilograms) is seated upright in a dental chair and appears visibly diaphoretic. The office staff states that the patient seemed confused upon arrival and has become increasingly irritable and slow to respond. The patient has a history of diabetes, seizures, and hyperlipidemia, and was instructed to fast after midnight for a scheduled dental procedure. The patient takes insulin, carbamazepine, hydrocodone/acetaminophen (for dental pain), and atorvastatin. The patient has no known allergies to medications. There are no signs of trauma, and the patient is able to follow simple commands. Eyes are open, and the pupils are 5 mm and reactive to light. The patient’s skin is diaphoretic. The vital signs are: blood pressure is 156/90 mmHg, pulse is 124 beats per minute, respirations are 10 per minute, SpO₂ is 95% on room air, temperature is 98°F (37°C), and the blood glucose is 47 mg/dL. Post scene Phase Scenario: Following administration of Dextrose 50% IV, the patient (70 kilograms) becomes more alert and oriented. He states that he did not eat breakfast prior to the dental procedure and began feeling “shaky” shortly after arriving. The patient now appears weak but is conversational and cooperative. His skin remains slightly diaphoretic. There are no signs of trauma, and IV access remains intact in the left forearm. Eyes are open, and the pupils are 5 mm and reactive to light. The vital signs are: blood pressure is 138/86 mmHg, pulse is 102 beats per minute, respirations are 14 per minute, SpO₂ is 97% on room air, temperature is 98°F (37°C), and the blood glucose is 84 mg/dL. The patient agrees to transport for further evaluation. Which of the following findings best confirms that the dextrose treatment has been effective?
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