The medical director issues a written order that allows an emt to give glucose in certain circumstances without speaking to another physician. this is called:

This is called off-line medical direction.  It is a type of medical direction wherein the EMT can conduct a specific advanced life support procedure before he contacts a medical control physician. In this scenario, the medical director permits the EMT to give glucose in specific situations without speaking to a different physician.

emerging idea only occurs as a raw idea that could appear out of nowhere. meanwhile, to reach scientific consensus , that idea must be structured and tested over and over again through various experiments. the scientific consensus transforms the raw idea into idea that is more reliable through the process of scientific elimination.